Search › California › 175T00000X
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 ClinicsInferred 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