California State Board of Optometry
Licensing details for: 8484
Name: Bonilla, Martha Natividad
License Type: Registered Contact Lens Dispenser
Primary Status: Current

Previous Names: Bonilla, Martha N
Address of Record
828 W Beach Ave Apt 9
INGLEWOOD CA 90302-3998
LOS ANGELES county
Map
License Relationships
RDO to Registered Contact Lens Dispenser
License/Registration Role: Registered Contact Lens Dispenser
Related Party Role: Registered Dispensing Ophthalmic Business
Name: COSTCO WHOLESALE #1202
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 70705 Primary Status: Current
Address :
2640 Lomita Blvd
TORRANCE CA 90505-5214
LOS ANGELES COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Contact Lens Dispenser
Related Party Role: Registered Spectacle Lens Dispenser
Name: Bonilla, Martha Natividad
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41584 Primary Status: Current
Address :
828 W Beach Ave Apt 9
INGLEWOOD CA 90302-3998
LOS ANGELES COUNTY



