Organization
UNIVERSITY OF CALIFORNIA SFGH MEDICAL GROUP
Active
Organization
UNIVERSITY OF CALIFORNIA SFGH MEDICAL GROUP
Active
Parent organization
UNIVERSITY OF CALIFORNIA SFGH MEDICAL GROUP
Other names
UCSF SFGH MEDICAL GROUP DEPT OF Oral and Maxillofacial Surgery
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 AVENUE, BLDG 5, ROOM 1N1, SAN FRANCISCO, CA 94110-3518
(415) 502-0661
(415) 476-6206
Mailing address
PO BOX 743749, LOS ANGELES, CA 90074-3749
(415) 514-3000
(415) 502-8175
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
—
—
Other
Enumeration date
08/02/2018
Last updated
12/26/2025
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