Organization
UNIVERSITY OF CALIFORNIA SFGH MEDICAL GROUP
Active
Other names
Department of Addiction Medicine
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 5H22, SAN FRANCISCO, CA 94110-3518
(415) 502-0661
(415) 476-6202
Mailing address
PO BOX 743749, LOS ANGELES, CA 90074-3749
(415) 514-3000
(415) 502-8175
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
09/06/2018
Last updated
12/26/2025
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