Dr. Mimi Shishou Lee is a Ventura, California based neurologist with 8 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 300 Hillmont Ave, Ventura. Patients can reach her at 805-652-6000. 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: | 8+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2017 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 300 Hillmont Ave, Ventura,
California, 93003-1651 |
| Phone: | 805-652-6000 |
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: | 23 Jun, 2025 |
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
300 Hillmont Ave, Ventura, California or can
call to book an appointment on 805-652-6000.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.