Basulto Montes, Itzia Adilene

Basulto Montes, Itzia Adilene is an sole proprietor health care provider with primary practice located at 58457 Twentynine Palms Highway Suite 102A, Yucca Valley CA 92284. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Nursing Service Related Providers / Day Training/Habilitation Specialist. Other Service Providers / Peer Specialist is her primary health care specialty. Basulto Montes, Itzia Adilene can be contacted via phone (760) 228-9657.

Contact Information

Primary practice address
58457 Twentynine Palms Highway Suite 102A Yucca Valley CA 92284
Phone: (760) 228-9657
Fax: (442) 205-0060
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X MPSS-VMFYNA California
Nursing Service Related Providers / Day Training/Habilitation Specialist 373H00000X

Profile Details

NPI number 1790652162
LBN Legal business name Basulto Montes, Itzia Adilene
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 21st, 2025
Last updated Jun 18th, 2026 - about 5 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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