Organization
UNIVERSITY OF CALIFORNIA SFGH MEDICAL GROUP
Active
Other names
UCSF SFGH Maxillofacial 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. 1N1, SAN FRANCISCO, CA 94110-3518
(415) 206-8104
Mailing address
PO BOX 743749, LOS ANGELES, CA 90074-3749
(415) 514-3000
(415) 502-8175
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Enumeration date
09/16/2010
Last updated
12/26/2025
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