Individual
DR. MIMI SHISHOU LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
300 HILLMONT AVE, VENTURA, CA 93003-1651
(805) 652-6000
Mailing address
17360 BROOKHURST STREET, FOUNTAIN VALLEY, CA 92708-3720
(877) 844-0012
(714) 665-4680
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
01088762A
IN
2084N0400X
Neurology Physician
Primary
A130577
CA
2084N0400X
Neurology Physician
MD60963884
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164684973
NPI
CA
Enumeration date
07/02/2008
Last updated
12/15/2025
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