Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jonathan Ly

Individual provider General Practice Dentistry · NPI 1487007811

Jonathan Ly is a General Practice Dentistry in Simi Valley, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2016

Practice location Address checks out

1975 Royal Ave Ste 1
Simi Valley, CA 93065-4603
Phone: (805) 526-3636
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 100404 (CA)

Record details

NPI number1487007811
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 21, 2016
Last updated in NPPESJuly 21, 2016

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