Organization
UNIVERSITY OF CALIFORNIA SFGH MEDICAL GROUP
Active
Other names
SFGH Medical Group Orthopedic Appliance Facility
Organization subpart
No
Provider details
NPI number
Authorized official
JUANITA VILLANUEVA (DIRECTOR)
(415) 514-2574
Entity
Organization
Contact information
Practice address
2550 23RD ST, BLDG 9, RM 119, SAN FRANCISCO, CA 94110-3518
(628) 206-4387
(628) 206-4389
Mailing address
PO BOX 743749, LOS ANGELES, CA 90074-3749
(415) 514-3000
(415) 502-8175
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
—
224P00000X
Prosthetist
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GXC000280
—
CA
Enumeration date
02/22/2006
Last updated
12/26/2025
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