PHYLLIS MO DO INC NPI 1215577168

NPI Information

  • NPI: 1215577168
  • Provider Name: PHYLLIS MO, DO, INC
  • Classification: Neuromusculoskeletal Medicine & OMM - 204D00000X
  • Entity Type: Organization
  • Address: 1021 E WALNUT ST STE 101
    PASADENA, CA
    ZIP 91106
  • Phone: (626) 658-8697

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NPI Details

PHYLLIS MO, DO, INC is a neuromusculoskeletal medicine omm in Pasadena, CA. The provider is the Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. PHYLLIS MO, DO, INC NPI is 1215577168. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1021 E WALNUT ST STE 101
PASADENA, CA
ZIP 91106-479
Phone: (626) 658-8697

The provider's authorized official is Joshua James Fischer .
The authorized official title is Credentialing/billing Consultant and has the following contact phone number (831) 920-3838.

The enumeration date for this NPI number is 1/8/2020 and was last updated on 1/8/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1204D00000XNeuromusculoskeletal Medicine & OMMYes

What is NPI?

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This page was last updated on: 11/21/2025

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