SearchIdaho171R00000X

Tony Mangala

NPI 1336059203 · on the registry since 2026 · sole proprietor

Practice

Address
188 S Umbria Hills Way Apt G101
Meridian, ID 83642
Phone
(208) 606-2055
Organisation at this address
Solace Hill Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
171R00000X
171R00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-09-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho