San Gabriel Valley Oral and Facial Surgery
NPI 1679086243 · Dental Clinic/Center · West Covina, CA
San Gabriel Valley Oral and Facial Surgery is a Dental Clinic/Center organization in West Covina, CA (NPI 1679086243).
Provider details
- NPI number
- 1679086243
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Patty Bogle, Practice Administrator(626) 966-8518
- License
- 40257 (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Former legal business name
- Peter S. Lam DDS, Inc.
Additional practice locations (1)
- 2453 Huntington DrSan Marino, CA 91108-2644Phone: (626) 486-0700Fax: (626) 486-0706
Registry dates
- Enumerated
- 2017-11-06
- Last updated
- 2018-03-17
Frequently asked questions
- What is San Gabriel Valley Oral and Facial Surgery's NPI number?
- San Gabriel Valley Oral and Facial Surgery's National Provider Identifier (NPI) is 1679086243, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is San Gabriel Valley Oral and Facial Surgery?
- San Gabriel Valley Oral and Facial Surgery is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is San Gabriel Valley Oral and Facial Surgery located?
- San Gabriel Valley Oral and Facial Surgery's practice location on file with NPPES is 126 S Glendora Ave Ste 108, West Covina, CA 91790-3047.
- What is San Gabriel Valley Oral and Facial Surgery's phone number?
- The practice phone number listed in the NPPES registry for San Gabriel Valley Oral and Facial Surgery is (626) 966-8518.
- Who is the authorized official for San Gabriel Valley Oral and Facial Surgery?
- The authorized official listed on San Gabriel Valley Oral and Facial Surgery's NPPES record is Patty Bogle, Practice Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is San Gabriel Valley Oral and Facial Surgery's NPI active?
- Yes — San Gabriel Valley Oral and Facial Surgery's NPI (1679086243) is active in the NPPES registry as of the last update on 2018-03-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.