Organization
UNIVERSITY OF CALIFORNIA SFGH MEDICAL GROUP
Active
Other names
UNIVERSITY OF CALIFORNIA RENAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
JUANITA VILLANUEVA (DIRECTOR)
(415) 514-2574
Entity
Organization
Contact information
Practice address
1001 POTRERO AVENUE, BLDG.100, RM. 342, SAN FRANCISCO, CA 94110-3518
(628) 476-4617
Mailing address
PO BOX 743749, LOS ANGELES, CA 90074-3749
(415) 514-3000
(415) 502-8175
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0024312
—
CA
Enumeration date
10/04/2006
Last updated
12/26/2025
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