California State Board of Optometry

License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: MAGALLON, RUDY

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 2240 Primary Status: Current

Address :
7627 Oak Park Ave
VAN NUYS CA 91406-2120
LOS ANGELES COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: SHAHZAD, AREEBA

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 40697 Primary Status: Delinquent

Address :
8900 Sepulveda Westway
LOS ANGELES CA 90045-3619
LOS ANGELES COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: KRISTIANSEN, KENNETH JEFFREY

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 5861 Primary Status: Current

Address :
163 W Ventura Blvd
A
CAMARILLO CA 93010-8372
VENTURA COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: SAVJANI, HIRAL

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 42905 Primary Status: Current

Address :
417 Camino Ruiz
CAMARILLO CA 93012-6779
VENTURA COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Registered Spectacle Lens Dispenser

Name: Calaustro, Nicco

License/Registration Type: Registered Spectacle Lens Dispenser

License Number: 43392 Primary Status: Current

Address :
1041 S Rimpau Blvd
LOS ANGELES CA 90019-1810
LOS ANGELES COUNTY

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License/Registration Role: Registered Dispensing Ophthalmic Business

Related Party Role: Optometrist

Name: HUYNH, TUYEN HONG

License/Registration Type: Optometrist

License Number: 14008 Primary Status: Current

Address :
51 TIERRA REJADA RD
SIMI VALLEY CA 93065
VENTURA COUNTY

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