Vitaley Kovalev, PA-C, DO is a student in an organized health care education training program in Los Angeles, CA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Vitaley Kovalev, PA-C, DO NPI is 1750637740. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
10100 S SAN PEDRO ST
LOS ANGELES, CA
ZIP 90003-830
Phone: (323) 578-5451
The NPI 1750637740 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 7/27/2012 and was last updated on 4/26/2021.