# UNIVERSITY OF CALIFORNIA SFGH MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Department of Addiction Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629550660
- **Authorized official:** JUANITA VILLANUEVA (DIRECTOR)
- **Authorized official phone:** (415) 514-2574

## Contact information

- **Practice address:** 1001 POTRERO AVE RM 5H22, SAN FRANCISCO, CA 94110-3518
- **Practice address phone:** (415) 502-0661
- **Practice address fax:** (415) 476-6202
- **Mailing address:** PO BOX 743749, LOS ANGELES, CA 90074-3749
- **Mailing address phone:** (415) 514-3000
- **Mailing address fax:** (415) 502-8175

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0401X | Addiction Medicine (Family Medicine) Physician | — | NULL | — |
| 207QA0401X | Addiction Medicine (Family Medicine) Physician | — | — | — |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | — | NULL | Yes |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/06/2018
- **Last updated:** 12/26/2025