Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Vitaley Kovalev, PA-C, DO

Individual provider Medical Physician Assistant · NPI 1750637740

Vitaley Kovalev, PA-C, DO is a Medical Physician Assistant in Los Angeles, California. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2012
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

10100 S San Pedro St
Los Angeles, CA 90003-4830
Phone: (323) 578-5451
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Medical Physician Assistant Taxonomy 363AM0700X · Licence 0010-03549 (NC)

Record details

NPI number1750637740
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C , DO
Sole proprietorYes
NPI enumeratedJuly 27, 2012
Last updated in NPPESApril 26, 2021
Certification dateApril 26, 2021

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