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VITALEY KOVALEV PA-C, DO
NPI 1750637740
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since July 27, 2012
10100 S SAN PEDRO ST, LOS ANGELES, CA 90003(323) 578-5451 Get Directions Write a Review

NPPES record last updated: April 26, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Vitaley Kovalev Pa-c, Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VITALEY KOVALEV PA-C, DO (NPI 1750637740) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since July 2012.

NPPES Registry Identity

NPI1750637740
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameVITALEY KOVALEVCredential: PA-C, DO
Location Address10100 S SAN PEDRO STLos Angeles, CA 90003-4830
Mailing Address10100 S San Pedro StLos Angeles, CA 90003-4830 · (323) 578-5451
Phone(323) 578-5451
Sole ProprietorYes
Enumeration DateJuly 27, 2012
Last NPPES UpdateApril 26, 2021
NPPES CertifiedApril 26, 2021
✔ NPI 1750637740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

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.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 0010-03549 (NC)
10100 S SAN PEDRO ST, Los Angeles, CA 90003
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vitaley Kovalev's NPI number?

The NPI number for Vitaley Kovalev is 1750637740. It was assigned to this individual provider in the NPPES registry on July 27, 2012.

Where is Vitaley Kovalev located?

Vitaley Kovalev practices at 10100 S San Pedro St, Los Angeles, CA 90003. The listed phone number is (323) 578-5451.

What is Vitaley Kovalev's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Vitaley Kovalev was last updated on April 26, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.