Southern California
Medical Practice Valuation & Brokerage Services in Los Angeles
The largest physician market in the United States — and the most varied. Valuing it takes someone who knows which LA your practice is in.
- CVA Certified NACVA Valuation Analyst
- USPAP Compliant Appraisal Reports
- 500+ Valuations 45+ specialties
There Is No "Los Angeles Average"
Los Angeles County holds nearly ten million people and more physicians than most states — but as a practice market, it isn't one market at all. A cash-pay aesthetic practice in Beverly Hills, a Medi-Cal-anchored pediatric office in East LA, a multi-site urgent care group in the Valley, and a cardiology group aligned with a Westside system occupy the same county and entirely different economies. Applying county-wide averages to any of them misprices all of them. Our Los Angeles engagements start by locating your practice precisely: submarket demographics, payer reality, competitive density, and the buyer categories actually active in your corridor.
The LA Market Forces That Shape Value
- Institutional gravity. Cedars-Sinai, UCLA Health, USC Keck, Providence, and Kaiser anchor referral patterns and compete for ambulatory assets across the county — system acquisition interest is a live exit path for many LA specialties.
- The deepest PE activity in the state. LA's scale makes it the first stop for every medical consolidation thesis: dermatology, ophthalmology, behavioral health, pain, primary care. Multiple platforms per specialty means real competitive tension — for sellers who run a process.
- Payer extremes. LA spans the full spectrum — concierge and cash-pay corridors, strong commercial submarkets, and some of California's largest Medi-Cal managed care populations. Payer mix isn't a detail here; it's the practice's identity and its buyer map.
- A massive ASC and procedure economy. Hundreds of surgery centers and office-based suites, from Beverly Hills plastic surgery ORs to high-volume GI centers — with national operators permanently in acquisition mode.
- Cost and consolidation pressure. Commercial rents, clinical wages, and competitive saturation squeeze independent margins — one reason LA owners increasingly choose between scaling and selling.
What we do in Los Angeles
Medical Practice Valuation
Medical Practice Valuation in Los Angeles
Certified opinions of value, submarket-calibrated.
Learn moreASC Valuation
ASC Valuation in Los Angeles
Centers and interests across the county's enormous facility landscape.
Learn moreSelling a Medical Practice
Sell Your Medical Practice in Los Angeles
Confidential processes that put LA's deep buyer pool into actual competition.
Learn moreSelling Your ASC
Sell Your Surgery Center in Los Angeles
Sell-side representation in the state's most active ASC market.
Learn moreStatewide Firm, LA Fluency
From our Newport Beach base, Los Angeles is our most active market after Orange County — a short drive for on-site interviews and walkthroughs anywhere from Santa Monica to Pasadena to Long Beach. Engagements run on the same statewide standard: certified, USPAP-compliant appraisals from a CVA with 500+ engagements, and brokerage run as a structured, competitive process.
A clear, three-step process
- 1
Discovery Call
A confidential conversation about your practice, your timeline, and the purpose of the valuation. We scope the right report tier before you commit to anything.
- 2
Financial Analysis & Interviews
We interview you and normalize your financials. Owner compensation, one-time expenses, and related-party leases all get restated. Typical turnaround: 1–2 weeks.
- 3
Certified Opinion of Value
You receive a defensible, USPAP-compliant conclusion of value, walked through line by line. The report is documented to withstand scrutiny from a buyer, a court, a partner, or a lender.
Which LA is your practice in?
Submarket-precise valuation beats county-average guessing.
Trusted by physicians across California
Real Google reviews from physicians and practice owners we have served. Read them on Google
“As a physician with partnership transaction of medical practice, he was an exceptional to guide me and advise me. He showed not only professionalism but also his eagerness to help and guide me through. Highly recommend him for any business valuation and transaction.”
Dr. Kyong Kim
Partnership transaction
“Fantastic valuation/appraisal specialist. I reached out to Alexey to help me evaluate a medical practice buy-in on short notice. He was able to work me into his schedule and accommodate my timeline despite how busy he was and provided crucial insight into helping me decide my next steps.”
Dr. Xuan Cao
Medical practice buy-in
“They get 5 stars across the board. Alexey was extremely thorough and detailed oriented. He did a deep dive into my practice’s financials, coding and practice history. He was easily approachable and prompt in answering questions and in completing the Appraisal. I am confident in the results and I would highly recommend him to any physician/practice for an appraisal.”
Dr. Robert Sacks
Ophthalmology practice
“I called Nechay as I was navigating the potential of selling my practice, and I had a lot of questions about my various offers for sale. Nechay was so responsive, methodical, and educational. He really allowed me to understand the landscape of selling my practice. He is an effective communicator, very patient on the phone and obviously extremely knowledgeable. I will be hiring him to help complete my transactions!”
Dr. Garima Lal
Evaluating sale offers
“I hired Nechay Appraisals to value my ophthalmology practice last year and couldn’t have been more impressed. From start to finish, Alexey was fantastic to work with. The end result was a highly professional and polished valuation report that provided valuable insights on the current state of my business.”
Dr. David Salvay
Ophthalmology practice valuation
“Alexey has been an excellent asset in evaluating our practice. His experience and practice suggestions have helped us tremendously. His working knowledge of medical practice evaluation and application of these skills is second to none. He is always readily available at a moment’s notice.”
Dr. Elio Vento
Practice evaluation
“Very attentive. Quick to respond. Knowledgeable.”
Dr. Betty Daniels
“Very professional, responsive and creates an excellent report and is accessible. Thank you!”
Dr. Daniel Laroche
“Alexey is very professional and a pleasure to work with. I was under time constraints and he completed his review on time despite those additional pressures.”
Dr. Charles Jackson
“Nechay listened carefully and provided objective feedback tailored to my specific situation. His honest communication and expertise made a complex process much easier. I highly recommend him.”
Dr. Maria Soledad Romero
“Highly recommend! From start to finish, he demonstrated expertise, professionalism, and genuine care. Not only did he deliver a thorough, well-researched valuation report, but he also took the time to explain key findings, offer strategic advice, and answered all our questions — even talked to our accountant and bookkeeper to dig deep into our situation.”
Dr. Alicia Sanchez
Medical practice valuation
“We hired Nechay Appraisals to value our ophthalmology practice the year before last and couldn’t have been more impressed. From start to finish, Alexey was fantastic to work with. He was very organized and very patient with us as we gathered what he needed. Every week he would check in to make sure everything was on track. We are getting ready to utilize his services again and are looking forward to working with him.”
Jenna Keller
Ophthalmology practice valuation
“I greatly appreciate the help from Alexey. The process was easy and the information was invaluable. The data provided was comprehensive and gave me perspective of my company that I was not aware of. I highly recommend Alexey and his company.”
Dr. Linh Ngo
Medical practice valuation
Los Angeles questions, answered
Yes — and they're specific: FQHCs expanding access, managed-care-aligned groups, and organizations building Medi-Cal networks. LA has the largest such buyer ecosystem in the state. The valuation identifies your practice's economics; the process finds the buyers built for them.
Density cuts both ways: more competitors pressure organic growth, but more acquirers deepen exit demand. What matters is your practice's defensible position — payer contracts, referral relationships, provider leverage — which the valuation measures directly.
Routinely. Owner interviews, facility walkthroughs, and management meetings are conducted in person across LA County; document work proceeds remotely. Distance never delays an engagement.
Substantially — pricing power and margins differ, and so do transferability questions, since cash patients often attach to a physician's personal brand. Our aesthetic and concierge valuation work addresses exactly that goodwill split.
The Biggest Market Deserves the Sharpest Number
Certified valuations and confidential sales across Los Angeles.
All inquiries are kept strictly confidential.