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Organization
TONY BOGARD FOUNDATION
Active
Organization
TONY BOGARD FOUNDATION
Active
Other names
TBF
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE RAY THOMAS JR. CHW (PRESIDENT)
(323) 425-1413
Entity
Organization
Contact information
Practice address
44230 ARTESIA MILL CT, LANCASTER, CA 93535-6254
(760) 474-0330
Mailing address
10910 LONG BEACH BLVD STE 103-607, LYNWOOD, CA 90262-2689
(760) 474-0330
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
251X00000X
Supports Brokerage Agency
Primary
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6380742
CA SECRETARY OF STATE ENTITY NUMBER
CA
Enumeration date
04/02/2026
Last updated
08/03/2026
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