SearchCalifornia1223G0001X

Jonathan Ly

NPI 1487007811 · on the registry since 2016 · sole proprietor

Practice

Address
1975 Royal Ave Ste 1
Simi Valley, CA 93065
Phone
(805) 526-3636
Organisation at this address
R. Trent Torgersen Dds, Gina Torgersen Dds Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-07-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California