Organization
UNIVERSITY OF CALIFORNIA SFGH MEDICAL GROUP
Active
Other names
UCSF SFGH Medical Group Dept of Neurology
Organization subpart
No
Provider details
NPI number
Authorized official
JUANITA VILLANUEVA (PROVIDER ENROLLMENT)
(415) 514-2574
Entity
Organization
Contact information
Practice address
1001 POTRERO AVE, BLDG 1 RM 117, SAN FRANCISCO, CA 94110-3518
(628) 206-6182
(415) 206-4055
Mailing address
PO BOX 743749, LOS ANGELES, CA 90074-3749
(415) 514-3000
(415) 502-8175
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0024313
—
CA
Enumeration date
02/22/2006
Last updated
12/26/2025
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