Healthcare Provider Details

I. General information

NPI: 1144025214
Provider Name (Legal Business Name): HORIZON PEAK HEALTH - NURSING CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2025
Last Update Date: 06/03/2025
Certification Date: 06/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29000 S WESTERN AVE STE 205
RANCHO PALOS VERDES CA
90275-0890
US

IV. Provider business mailing address

1540 E INDUSTRIAL ST APT 427
LOS ANGELES CA
90021-1137
US

V. Phone/Fax

Practice location:
  • Phone: 310-955-1041
  • Fax: 323-693-9202
Mailing address:
  • Phone: 213-948-8319
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2083B0002X
TaxonomyObesity Medicine (Preventive Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: CANYBEC SULAYMAN
Title or Position: PRESIDENT
Credential: NP
Phone: 213-948-8319