SearchCalifornia175T00000X

Itzia Basulto Montes

NPI 1790652162 · on the registry since 2025 · sole proprietor

Practice

Address
58457 Twentynine Palms Highway
Suite 102a
Yucca Valley, CA 92284
Phone
(760) 228-9657
Fax
(442) 205-0060
Organisation at this address
Pacific Clinics
Pacific Clinics
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
175T00000X
175T00000X
Also registered as
373H00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-06-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California