Dr. Mimi Shishou Lee is a Fountain Valley, California based neurologist with 7 years of experience in Neurology. She completed her graduation in 2017. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Mimi Shishou Lee is A130577 for Neurology in California. Her current practice location is 17360 Brookhurst Street, Fountain Valley. Patients can reach her at 877-844-0012 or can fax her at 714-665-4680. Dr. Mimi Shishou Lee is M.D. in Neurology and her NPI number (Unique professional ID assigned by NPPES) is 1164684973. Dr. Mimi Shishou Lee specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Complete Profile:
Dr. Mimi Shishou Lee speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Dr. Mimi Shishou Lee
Specialization:
Neurology
Gender:
Female
Credentials:
M.D.
Experience:
7+ years
Medical School Attended:
Other
Graduation Year:
2017
Accepts Medicare Assignment:
Yes
Practice Address:
17360 Brookhurst Street, Fountain Valley, California, 92708-3720
Phone:
877-844-0012
Fax:
714-665-4680
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
4587883475
Enrollment ID:
I20140908001279
NPI Number:
1164684973
NPI Enumeration Date:
02 Jul, 2008
NPI Last Update On:
17 Jul, 2024
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Mimi Shishou Lee are as mentioned below.
License Number
Specialization
State
Status
A130577
Neurology
California
Primary
MD60963884
Neurology
Washington
Secondary
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Mimi Shishou Lee is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Providence Health And Services - Washington (2860552973)
208
Providence Health And Services Oregon (0648183608)
1224
Providence Health And Services Washington (0345139929)
639
Providence Health And Services Washington (1557408176)
129
Providence Health And Services Washington (6709782600)
370
Providence Medical Institute (5991609737)
274
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Mimi Shishou Lee such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1164684973
Other
California
NPI
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Dr. Mimi Shishou Lee 17360 Brookhurst Street, Fountain Valley, California
Zip:
92708-3720
Phone Number:
877-844-0012
Fax Number:
714-665-4680
Patients can reach Dr. Mimi Shishou Lee at 17360 Brookhurst Street, Fountain Valley, California or can call to book an appointment on 877-844-0012.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.