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Organization

UNIVERSITY OF CALIFORNIA SFGH MEDICAL GROUP

Active
Other names
UCSF SFGH Medical Group Division of Vascular 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 3A, SAN FRANCISCO, CA 94110-3518
(628) 206-8265
(415) 502-8175
Mailing address
PO BOX 743749, LOS ANGELES, CA 90074-3749
(415) 514-3000
(415) 502-8175

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary

Other

Enumeration date
04/01/2025
Last updated
12/18/2025
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