California State Board of Optometry
Licensing details for: 9145
Name: Portillo, Karen
License Type: Registered Contact Lens Dispenser
Primary Status: Current

Address of Record
4308 Lima St
LOS ANGELES CA 90011-3821
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 #479
License/Registration Type: Registered Dispensing Ophthalmic Business
License Number: 6455 Primary Status: Current
Address :
13463 WASHINGTON BOULEVARD
MARINA DEL REY CA 90292
LOS ANGELES COUNTY
SLD Dispenser & CLD Dispenser
License/Registration Role: Registered Contact Lens Dispenser
Related Party Role: Registered Spectacle Lens Dispenser
Name: Portillo, Karen
License/Registration Type: Registered Spectacle Lens Dispenser
License Number: 41708 Primary Status: Current
Address :
4308 Lima St
LOS ANGELES CA 90011-3821
LOS ANGELES COUNTY



