California Veterinary Medical Board
Licensing details for: 15154
Name: BLACK, DOROTHY M
License Type: Veterinarian
Primary Status: Current
Address of Record
251 N Amphlett Blvd
SAN MATEO CA 94401-1805
SAN FRANCISCO county
Map
License Relationships
Premises to Managing Licensee
License/Registration Role: Veterinarian
Related Party Role: Veterinary Premises
Name: Omega Veterinary Group
License/Registration Type: Veterinary Premises
License Number: 38868 Primary Status: Current
Address :
251 N Amphlett Blvd
SAN MATEO CA 94401-1805
SAN MATEO COUNTY
Premises to Managing Licensee
License/Registration Role: Veterinarian
Related Party Role: Veterinary Premises
Name: Millbrae Pet Hospital
License/Registration Type: Veterinary Premises
License Number: 37239 Primary Status: Cancelled
Address :
128 Park Pl
MILLBRAE CA 94030-1235
SAN MATEO COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Zimina, Kristina
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 12696 Primary Status: Current
Address :
101 Knight Ct
NOVATO CA 94945-3404
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Aviles, Catherine
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 15847 Primary Status: Current
Address :
251 N Amphlett Blvd
SAN MATEO CA 94401-1805
SAN MATEO COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Garcia, Lizeth G
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 15837 Primary Status: Current
Address :
251 N Amphlett Blvd
SAN MATEO CA 94401-1805
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Tejeda, Vanessa Abigail
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 12322 Primary Status: Current
Address :
13730 E 14th St
Apt A111
SAN LEANDRO CA 94578-2577
ALAMEDA COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: COLE, EMILY C.
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 16063 Primary Status: Current
Address :
2568 Titan Way
CASTRO VALLEY CA 94546-2736
ALAMEDA COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Freccero, Paola
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 111 Primary Status: Expired
Address :
251 N Amphlett Blvd
Omega Veterinary Group
SAN MATEO CA 94401-1805
SAN MATEO COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Sylvester, Serena Janelle
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 11936 Primary Status: Expired
Address :
26775 Hayward Blvd
Unit O
HAYWARD CA 94542
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Guizar, Sydeney
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 14900 Primary Status: Current
Address :
1412 Military W
BENICIA CA 94510
SOLANO COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: TAM, JERRICA N
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 765 Primary Status: Current
Address :
251 N Amphlett Blvd
SAN MATEO CA 94401-1805
SAN MATEO COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Plumeau, Lauren
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 12747 Primary Status: Current
Address :
251 N Amphlett Blvd
SAN MATEO CA 94401-1805
SAN MATEO COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Vieira de Lima, Gabriela
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 8399 Primary Status: Current
Address :
614 Purissima St
HALF MOON BAY CA 94019-1933
SAN MATEO COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Tran, Kieu Lien Thi
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 11863 Primary Status: Current
Address :
22837 Watkins St
HAYWARD CA 94541-6603
ALAMEDA COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Henderson, Brianna Nicole
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 13476 Primary Status: Current
Address :
907 Dell Ave
CAMPBELL CA 95008-4120
SANTA CLARA COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Li, Antonia
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 15151 Primary Status: Current
Address :
257 N Amphlett Blvd
SAN MATEO CA 94401-1805
SAN MATEO COUNTY
