person
Dr. Mimi Shishou Lee, MD
Neurology Physician in Fountain Valley, California
NPI 1164684973

Mimi Shishou Lee is a Neurology Physician based in Fountain Valley, CA and is specialized in Neurology. Mimi Shishou Lee practices in Fountain Valley, CA and has the professional credentials of MD. The NPI Number for Mimi Shishou Lee is 1164684973 and holds a License No. A130577 (California).

The current practice location address for Mimi Shishou Lee is 17360 Brookhurst Street, Fountain Valley, CA and can be reached out via phone at 877-844-0012 and via fax at 714-665-4680. You can also correspond with Mimi Shishou Lee through the mailing address at 17360 BROOKHURST STREET, FOUNTAIN VALLEY, CA - 92708-3720 (mailing address contact number: 877-844-0012).

Location: 17360 Brookhurst Street, Fountain Valley, CA, 92708-3720
person
Provider Profile Details
NPI Number
1164684973
Provider Name
Mimi Shishou Lee
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
17360 Brookhurst Street, Fountain Valley, CA, 92708-3720
Phone Number
877-844-0012
Fax Number
714-665-4680
Provider Enumeration Date
07/02/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1164684973 01 CA NPI
institution
Provider Business Practice Location Address Details
Address
17360 Brookhurst Street
City
State
Zip
92708-3720
Phone Number
877-844-0012
Fax Number
714-665-4680
person
Provider Business Mailing Address Details
Address
17360 Brookhurst Street
City
State
Zip
92708-3720
Phone Number
877-844-0012
Fax Number
714-665-4680
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
License No.
A130577 (California)
Definition
A Neurologist 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.
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