Lee, Mimi Shishou
Lee, Mimi Shishou is an individual health care provider with primary practice located at 17360 Brookhurst Street , Fountain Valley CA 92708-3720. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Lee, Mimi Shishou can be contacted via phone (877) 844-0012.Contact Information
Primary practice address
17360 Brookhurst Street
Fountain Valley CA 92708-3720
Phone: (877) 844-0012
Fax: (714) 665-4680
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | A130577 | California |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | MD60963884 | Washington |
Profile Details
| NPI number | 1164684973 |
|---|---|
| LBN Legal business name | Lee, Mimi Shishou |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 2nd, 2008 |
| Last updated | Jul 17th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164684973 | NPPES |
| California | Other | 1164684973 | NPI |
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