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NPI 1144025214

NPI 1144025214 : HORIZON PEAK HEALTH - NURSING CORP : RANCHO PALOS VERDES, CA

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General NPI Number Information
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    NPI Number           |    1144025214
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    Entity Type          |    Organization 
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    Legal Business Name  |    HORIZON PEAK HEALTH - NURSING CORP 
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Dates
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    Enumeration Date     |    02/13/2025
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    Last Update Date     |    06/03/2025
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Provider Practice Location Address
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    Address Line         |    29000 S WESTERN AVE STE 205 
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    City                 |    RANCHO PALOS VERDES
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    State                |    CA
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    Zip                  |    90275-0890
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    Country              |    US
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    Telephone            |    310-955-1041
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    Fax                  |    323-693-9202
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Provider Business Mailing Address
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    Address Line         |    1540 E INDUSTRIAL ST APT 427 
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90021-1137
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    Country              |    US
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    Telephone            |    213-948-8319
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     CANYBEC  SULAYMAN 
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    Credential           |    NP
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    Telephone            |    213-948-8319
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2083B0002X
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    Taxonomy Name        |    Obesity Medicine (Preventive Medicine) Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    
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    License Number State |    
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