Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Landmark Medical of Idaho PC

Organization General Practice Physician · NPI 1649995101

Landmark Medical of Idaho PC is a General Practice Physician in Boise, Idaho. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

322 E Frnt ST Ste 400
Boise, ID 83702-7370
Phone: (657) 400-5180
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1649995101
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Le — Chief Medical Officer · (657) 400-5180
NPI enumeratedOctober 7, 2022
Last updated in NPPESOctober 7, 2022
Certification dateOctober 7, 2022
Mailing address7755 Center Ave Ste 630, Huntington Beach, CA 92647-9152

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