California Veterinary Medical Board
Licensing details for: 17747
Name: DIETZ, JENNIFER PATOKA
License Type: Veterinarian
Primary Status: Current
Previous Names: DIETZ, JENNIFER P
Address of Record
7672 Juliette Low Dr
HUNTINGTON BEACH CA 92647-4176
ORANGE county
Map
License Relationships
Premises to Managing Licensee
License/Registration Role: Veterinarian
Related Party Role: Veterinary Premises
Name: BROOK-ELLIS PET HOSPITAL
License/Registration Type: Veterinary Premises
License Number: 3124 Primary Status: Current
Address :
18542 Brookhurst St
FOUNTAIN VALLEY CA 92708-6708
ORANGE COUNTY
Premises to Managing Licensee
License/Registration Role: Veterinarian
Related Party Role: Veterinary Premises
Name: BAKER BRISTOL PET HOSPITAL
License/Registration Type: Veterinary Premises
License Number: 514 Primary Status: Current
Address :
2976 Bristol St
COSTA MESA CA 92626-5994
ORANGE COUNTY
Premises to Managing Licensee
License/Registration Role: Veterinarian
Related Party Role: Veterinary Premises
Name: SEACLIFF ANIMAL HOSPITAL
License/Registration Type: Veterinary Premises
License Number: 38303 Primary Status: Current
Address :
19365 Main St Ste 101
HUNTINGTON BEACH CA 92648-2483
ORANGE COUNTY
Premises to Managing Licensee
License/Registration Role: Veterinarian
Related Party Role: Veterinary Premises
Name: WETLANDS AND WILDLIFE CARE CENTER
License/Registration Type: Veterinary Premises
License Number: 6419 Primary Status: Current
Address :
21900 Pacific Coast Hwy
HUNTINGTON BEACH CA 92646-7601
ORANGE COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Helms, Teal Renee
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 11838 Primary Status: Current
Address :
21900 Pacific Coast Hwy
HUNTINGTON BEACH CA 92646-7601
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Snow, Heather
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 15364 Primary Status: Current
Address :
21900 Pacific Coast Hwy
HUNTINGTON BEACH CA 92646-7601
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Campbell, Lindsey Anne
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 11893 Primary Status: Current
Address :
21900 Pacific Coast Hwy
HUNTINGTON BEACH CA 92646-7601
ORANGE COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Latycheva, Elena
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 11651 Primary Status: Expired
Address :
13800 Parkcenter Ln Apt 353
TUSTIN CA 92782-8513
ORANGE COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Churchill, Kelly
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 12120 Primary Status: Current
Address :
19365 Main St
#101
HUNTINGTON BEACH CA 92648-2483
ORANGE COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Castillo, Briana
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 11645 Primary Status: Current
Address :
23550 Vista Way
MENIFEE CA 92587-9687
RIVERSIDE COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Marlin, Kevin Kenneth
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 17056 Primary Status: Current
Address :
2976 Bristol St
COSTA MESA CA 92626-5994
ORANGE COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Davey, Jaret James
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 11825 Primary Status: Current
Address :
21900 Pacific Coast Hwy
HUNTINGTON BEACH CA 92646-7601
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Bernal, Jesus Missael
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 16416 Primary Status: Current
Address :
2976 Bristol St
COSTA MESA CA 92626-5994
ORANGE COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Thibert, Amanda Elizabeth
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 17506 Primary Status: Current
Address :
18542 Brookhurst St
FOUNTAIN VALLEY CA 92708-6708
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: McGuire, Melissa Lynn
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 13499 Primary Status: Expired
Address :
2356 Rutgers Dr
COSTA MESA CA 92626-6330
ORANGE COUNTY
Supervisor (Vet) to VACS Permit
License/Registration Role: Veterinarian
Related Party Role: Veterinary Assistant Controlled Substance Permit
Name: Solorzano, Fidel Juan
License/Registration Type: Veterinary Assistant Controlled Substance Permit
License Number: 12148 Primary Status: Current
Address :
18542 Brookhurst St
FOUNTAIN VALLEY CA 92708-6708
ORANGE COUNTY
