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SAN GABRIEL VALLEY ORAL AND FACIAL SURGERY
NPI 1679086243
Clinic/Center - Dental in West Covina, CA

Active since November 06, 2017
126 S GLENDORA AVE STE 108, WEST COVINA, CA 91790(626) 966-8518(626) 967-0990 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2018, Nov 6, 2017 (2 updates tracked since 2017).

About San Gabriel Valley Oral And Facial Surgery NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAN GABRIEL VALLEY ORAL AND FACIAL SURGERY (NPI 1679086243), doing business as Peter S. Lam Dds, Inc., is a healthcare organization registered as a dental in West Covina, California and active in the NPI registry since November 2017. The organization maintains a secondary practice location in San Marino and lists Patty K Bogle, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1679086243
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameSAN GABRIEL VALLEY ORAL AND FACIAL SURGERY
Location Address126 S GLENDORA AVE STE 108West Covina, CA 91790-3047
Mailing Address126 S Glendora Ave Ste 108West Covina, CA 91790-3047 · (626) 966-8518 · Fax (626) 967-0990
Phone(626) 966-8518
Fax(626) 967-0990
Organization SubpartNo
Authorized OfficialPatty K BoglePractice Administrator · (626) 966-8518
Enumeration DateNovember 6, 2017
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1679086243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in CA · 40257
126 S GLENDORA AVE STE 108, West Covina, CA 91790
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Other Names 1

Former Legal Business NamePeter S. Lam Dds, Inc.

Secondary Practice Location 1

Location 12453 Huntington DrSan Marino, CA 91108-2644 · Phone (626) 486-0700 · Fax (626) 486-0706

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAN GABRIEL VALLEY ORAL & FACIAL SURGERY
Clinic/Center (Oral and Maxillofacial Surgery)
126 S GLENDORA AVE STE 108
WEST COVINA, CA 91790
Los Angeles County (626) 966-8518

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is San Gabriel Valley Oral And Facial Surgery's NPI number?

The NPI number for San Gabriel Valley Oral And Facial Surgery is 1679086243. It was assigned to this organization in the NPPES registry on November 6, 2017. The provider was formerly known as Peter S. Lam Dds, Inc..

Where is San Gabriel Valley Oral And Facial Surgery located?

San Gabriel Valley Oral And Facial Surgery is located at 126 S Glendora Ave Ste 108, West Covina, CA 91790. The listed phone number is (626) 966-8518.

What is San Gabriel Valley Oral And Facial Surgery's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for San Gabriel Valley Oral And Facial Surgery was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.