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Organization
TOMMY THE CLOWN FOUNDATION
Active
Organization
TOMMY THE CLOWN FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOMMY JOHNSON (CEO, EXECUTIVE DIRECTOR)
(323) 750-5555
Entity
Organization
Contact information
Practice address
13626 S NORMANDIE AVE, GARDENA, CA 90249-2608
(323) 750-5555
Mailing address
13626 S NORMANDIE AVE, GARDENA, CA 90249-2608
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/13/2026
Last updated
03/13/2026
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