Lara Conovaloff, PA-C
Lara Conovaloff, PA-C is a Physician Assistant in Hollywood, California. Qualified in 2013, 13 years ago. Practices with Providence Facey Medical Foundation, a 323-clinician group and accepts Medicare assignment. Licensed in California.
- Years since qualifying
- 13
- Licensed in
- CA
- In the registry since
- 2013
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
6430 Selma AveHollywood, CA 90028-7311
Phone: (323) 848-4522
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence 23167 (CA) |
|---|
Record details
| NPI number | 1801229356 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | August 19, 2013 |
| Last updated in NPPES | April 11, 2014 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2013 (13 years in practice) |
| Group practice | Providence Facey Medical Foundation — 323 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Hollywood
-
Mr. Maurice Anthony Adkins, PA
6430 Selma Ave, Hollywood, CA 90028-7311 · (323) 848-4522
-
Alexis Nixon, PA
6245 De Longpre Ave 206, Hollywood, CA 90028-8253 · (323) 785-1223