Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Mimi Shishou Lee, MD

Individual provider Neurology Physician · NPI 1164684973

Dr. Mimi Shishou Lee, MD is a Neurology in Ventura, California. Qualified in 2007, 19 years ago. Practices with Providence Health and Services Oregon, a 1,426-clinician group, works from 6 locations, accepts Medicare assignment and offers telehealth. Licensed in California, Indiana and Washington.

Years since qualifying
19
Licensed in
CA, IN, WA
In the registry since
2008
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

300 Hillmont Ave
Ventura, CA 93003-1651
Phone: (805) 652-6000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (5)

  • 2701 W Alameda Ave, Burbank, CA 91505-4402 — (818) 843-8184
  • 2701 W Alameda Ave, Burbank, CA 91505-4402 — (818) 843-8184
  • 17360 Brookhurst Street, Fountain Valley, CA 92708-3720 — (877) 844-0012
  • 1300 Vermont Ave, Doctor Tower 600, Los Angeles, CA 90027 — (323) 913-4351
  • 300 Medical Plaza # B200, Los Angeles, CA 90095-4402 — (310) 794-1195

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence A130577 (CA)
Neurology Physician Taxonomy 2084N0400X · Licence MD60963884 (WA)
Neurology Physician Taxonomy 2084N0400X · Licence 01088762A (IN)

Record details

NPI number1164684973
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 2, 2008
Last updated in NPPESDecember 15, 2025
Certification dateDecember 15, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEUROLOGY
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Providence Health And Services Oregon — 1426 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations11 on file with Medicare

Other providers in Ventura