# PHYLLIS MO, DO, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Osteopathic Way
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215577168
- **Authorized official:** JOSHUA JAMES FISCHER DO (CREDENTIALING/BILLING CONSULTANT)
- **Authorized official phone:** (831) 920-3838

## Contact information

- **Practice address:** 1021 E WALNUT ST STE 101, PASADENA, CA 91106-1479
- **Practice address phone:** (626) 658-8697
- **Mailing address:** 1021 E WALNUT ST STE 101, PASADENA, CA 91106-1479
- **Mailing address phone:** (626) 658-8697

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | — | NULL | Yes |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/08/2020
- **Last updated:** 01/08/2020