Organization
UNIVERSITY OF CALIFORNIA SFGH MEDICAL GROUP
Active
Parent organization
UNIVERSITY OF CALIFORNIA SFGH MEDICAL GROUP
Other names
Department of Pathology
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSITY OF CALIFORNIA SFGH MEDICAL GROUP
Authorized official
JUANITA VILLANUEVA (DIRECTOR)
(415) 514-2574
Entity
Organization
Contact information
Practice address
1001 POTRERO AVE, BLDG 3 RM 102, SAN FRANCISCO, CA 94110-3518
(628) 206-8212
(628) 206-5988
Mailing address
PO BOX 743749, LOS ANGELES, CA 90074-3749
(415) 514-3000
(415) 502-8175
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
—
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
—
—
Other
Enumeration date
12/05/2018
Last updated
12/26/2025
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