NPI age
3 years
Enumerated 2022-10-07
● Active Type 2 · Organization
Landmark Medical Of Idaho Pc
Landmark Medical Of Idaho Pc is 1 of 75 general practice organizations in Idaho.
Primary specialty
General Practice
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Le
Chief Medical Officer
Last NPPES update
2022-10-07
Source: monthly bulk 2026-05
How this organization compares
Across 75 active general practice providers in Idaho.
NPI age
3 years
↓ 10 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2022 → 2026
2022-10Enumerated in NPPES
2022
2026
Where they practice
Primary practice location
322 E Front St Ste 400
Boise, ID 837027370
Mailing address
7755 Center Ave Ste 630
Huntington Beach, CA 926479152
Authorized official
Michael Le
Chief Medical Officer
📞 6574005180
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Casey Moyer, LMSW Counselor NPI 1841896255
Specialties
-
General Practice PrimaryA physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.