California State Board of Optometry
Licensing details for: 8861
Name: Pham, Khanh-Hong
License Type: Registered Contact Lens Dispenser
Primary Status: Delinquent

Address of Record
3570 E Pollock St.
2
ONTARIO CA 91761
RIVERSIDE 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 #473
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 6844 Primary Status: Current
Address :
13111 PEYTON DR
CHINO HILLS CA 91709
SAN BERNARDINO COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Contact Lens Dispenser
Related Party Role: Registered Spectacle Lens Dispenser
Name: Pham, Khanh-Hong
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 42807 Primary Status: Delinquent
Address :
3570 E Pollock St Unit 2
ONTARIO CA 91761-4170
SAN BERNARDINO COUNTY



