Jonathan LY

General Practice Dentistry · Simi Valley, CA

Individual Active NPI

NPI number 1487007811

Practice location

1975 Royal Ave Ste 1
Simi Valley, CA 93065-4603
Phone
(805) 526-3636

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NPI record

NPI
1487007811
Entity type
Individual (Type 1)
Enumeration date
July 21, 2016
Last updated
July 21, 2016
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 100404 CA

Mailing address

2673 Rikkard Dr
Thousand Oaks, CA 91362-4609

About Jonathan LY

Jonathan LY is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1975 Royal Ave Ste 1, Simi Valley, CA 93065-4603. The NPI number 1487007811 was assigned on July 21, 2016 and the record was last updated on July 21, 2016.

Jonathan LY lists a license in the registry: #100404 (CA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jonathan LY?

The NPI number is 1487007811.

What is the phone number of Jonathan LY?

The phone number listed for the practice location is (805) 526-3636.

Where is Jonathan LY located?

1975 Royal Ave Ste 1, Simi Valley, CA 93065-4603.

What is the taxonomy code for Jonathan LY?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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