Iwona Shine

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

IWONA SHINE

Practice address

2950 Sycamore Dr Ste 303
Simi Valley, CA 93065-1210

Phone

(323) 864-1065

NPI assigned

Aug 29, 2026

Last updated

Aug 29, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Malgorzata Jankowska

Title

Owner

Phone

(323) 864-1065

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1787961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787961600000",
    "number": "1104734342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 SYCAMORE DR STE 303",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930651210",
            "telephone_number": "323-864-1065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 SYCAMORE DR STE 303",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930651210",
            "telephone_number": "323-864-1065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IWONA SHINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-29",
        "last_updated": "2026-08-29",
        "certification_date": "2026-08-29",
        "status": "A",
        "authorized_official_last_name": "JANKOWSKA",
        "authorized_official_first_name": "MALGORZATA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-864-1065"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Simi Valley, CA
• Providers in Simi Valley, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.