LANDMARK MEDICAL OF IDAHO PC
NPI 1649995101
General Practice in Boise, ID

Q: What is Landmark Medical Of Idaho PC's NPI number?

The NPI number for Landmark Medical Of Idaho PC is 1649995101. It was assigned to this organization in the NPPES registry on October 7, 2022.

Q: What is Landmark Medical Of Idaho PC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since October 07, 2022

322 E FRONT ST STE 400, BOISE, ID 83702(657) 400-5180 Get Directions Write a Review

NPPES record last updated: October 7, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Landmark Medical Of Idaho Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LANDMARK MEDICAL OF IDAHO PC (NPI 1649995101) is a healthcare organization registered as a general practice in Boise, Idaho and active in the NPI registry since October 2022. The organization lists Michael Le, Chief Medical Officer, as its authorized official.

NPPES Registry Identity

NPI1649995101

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameLANDMARK MEDICAL OF IDAHO PC

Location Address322 E FRONT ST STE 400Boise, ID 83702-7370

Mailing Address7755 Center Ave Ste 630Huntington Beach, CA 92647-9152

Phone(657) 400-5180

Organization SubpartNo

Authorized OfficialMichael LeChief Medical Officer · (657) 400-5180

Enumeration DateOctober 7, 2022

NPPES CertifiedOctober 7, 2022

✔ NPI 1649995101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

322 E FRONT ST STE 400, Boise, ID 83702

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CASEY MOYER LMSW

Counselor (Mental Health)

322 E FRONT ST STE 400
BOISE, ID 83702

Ada County (208) 914-2264

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Landmark Medical Of Idaho PC's NPI number?

The NPI number for Landmark Medical Of Idaho PC is 1649995101. It was assigned to this organization in the NPPES registry on October 7, 2022.

Where is Landmark Medical Of Idaho PC located?

Landmark Medical Of Idaho PC is located at 322 E Front St Ste 400, Boise, ID 83702. The listed phone number is (657) 400-5180.

What is Landmark Medical Of Idaho PC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Landmark Medical Of Idaho PC was last updated on October 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.