Hourly Consulting
Scoped on your call
A second opinion without commissioning a full valuation. Physicians use it for an independent read on a private equity offer, a partner buy-in, or a purchase they are weighing before signing a letter of intent.
Los Angeles · Southern California
Medical Practice Valuation in Los Angeles
Certified, USPAP-compliant appraisals calibrated to your LA submarket — not to a county average that describes no one.
- CVA Certified NACVA Valuation Analyst
- USPAP Compliant Appraisal Reports
- 500+ Valuations 45+ specialties
LA Valuations Live and Die on Submarket Precision
Our methodology is the statewide standard — normalized cash flow, three approaches, certified reconciliation (full methodology). In Los Angeles, the inputs demand unusual care. Replacement physician compensation varies sharply between the Westside and the inland county. Payer mix can flip within two miles — and with it, revenue durability and the relevant buyer universe. Lease economics range from Beverly Hills triple-net trophy space to owned medical condos in the Valley, and related-party rent restatement swings accordingly. We anchor every input to your actual corridor, and our market-approach comps get matched on submarket character, not just specialty and size.
Frequent LA Engagements
- PE offer second opinions — LA physicians receive more platform LOIs than anywhere in California; an independent read before exclusivity is our most requested LA service.
- Divorce valuations — LA family court matters involving physician practices, where our Detailed Reports and litigation support do their heaviest work.
- Partner buy-ins and group transactions across LA's large multi-physician groups.
- SBA appraisals for the county's active practice-purchase financing market.
- Estate and gift valuations for senior physicians in long-held practices with appreciated goodwill and real estate intertwined.
Logistics, Handled
On-site interviews anywhere in LA County, typically scheduled within days; document collection remote and secure; turnaround 1–2 weeks from complete records. If the conclusion points toward a sale, our LA brokerage practice picks up the same analysis without re-work.
Three Engagement Tiers, One Standard
We scope the right tier on your discovery call, so you never pay for more report than your purpose requires.
Summary Report
Starting at $3,950
A professionally developed conclusion of value in a streamlined report, grounded in normalized financials and real market data, and prepared in compliance with USPAP. The right fit for exit planning, pricing a sale, or anchoring a partner buy-in. Our most common engagement.
Detailed Report
Starting at $7,500
The gold standard, with full documentation of data, methodology, and assumptions, prepared in compliance with USPAP. Required where the number will be challenged: divorce, shareholder disputes, and gift & estate tax filings.
Valuations by Purpose
The purpose of a valuation changes the standard of value, the report depth, and sometimes the conclusion itself. Choose your situation:
Selling
Medical Practice Valuation for Selling a Practice
Know what your practice is truly worth before a buyer tells you what they want to pay.
Learn morePartner Buy-In & Buy-Out
Medical Practice Partner Buy-In & Buy-Out Valuation
A fair, independent number both partners can trust, whether buying in or cashing out.
Learn moreDivorce
Medical Practice Valuation for Divorce
Court-ready, USPAP-compliant valuations for marital dissolution involving a medical practice.
Learn moreShareholder Dispute
Medical Practice Valuation for Shareholder Disputes
Independent, litigation-ready valuations when partners disagree about what the practice is worth.
Learn moreSBA Loan
Medical Practice Valuation for SBA Loans
Lender-ready business valuations that satisfy SBA SOP requirements without slowing your closing.
Learn moreGift & Estate Tax
Medical Practice Gift & Estate Tax Valuation
IRS-defensible valuations for gifting, succession, and estate planning involving practice interests.
Learn moreA 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.
Holding an LOI from a platform?
Get the independent read before the exclusivity clock runs.
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
Frequently asked questions
With a patient-origin analysis — your accounts data shows where revenue actually comes from, and the valuation weights demographics and payer durability accordingly. Multi-corridor draw is often a strength worth documenting.
Scale deepens the buyer pool, which supports value — but multiples follow normalized earnings quality, transferability, and competition, not metro size. Plenty of LA practices trade modestly; well-positioned ones command real premiums. The valuation tells you which you own.
That's our default working style — clients consistently note we work directly with their accountants and advisors. Valuations land better when the whole team shares one set of numbers.
More in Los Angeles and statewide
Medical Practice Valuation — Statewide Our full California service page Los Angeles Overview All services in Los Angeles ASC Valuation in Los Angeles Centers and interests across the county's enormous facility landscape. Sell Your Medical Practice in Los Angeles Confidential processes that put LA's deep buyer pool into actual competition.
Your Corridor. Your Comps. Your Number.
Certified LA practice valuations in 1–2 weeks.
All inquiries are kept strictly confidential.