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Organization
UNIVERSITY OF CALIFORNIA SFGH MEDICAL GROUP
Active
Organization
UNIVERSITY OF CALIFORNIA SFGH MEDICAL GROUP
Active
Other names
UCSF SFGH Maxillofacial Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
JUANITA VILLANUEVA (DIRECTOR)
(415) 514-2574
Entity
Organization
Contact information
Practice address
1001 POTRERO AVE, RM. 1N1, SAN FRANCISCO, CA 94110-3518
(415) 206-8104
Mailing address
PO BOX 743749, LOS ANGELES, CA 90074-3749
(415) 514-3000
(415) 502-8175
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Enumeration date
09/16/2010
Last updated
12/26/2025
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