SAN GABRIEL VALLEY ORAL & FACIAL SURGERY – NPI #1467304188
Clinic/Center

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Health Care Provider Taxonomy Code for Clinic/Center

SAN GABRIEL VALLEY ORAL & FACIAL SURGERY is an AHC clinic located in WEST COVINA, CA. NPPES has assigned the NPI number 1467304188 to SAN GABRIEL VALLEY ORAL & FACIAL SURGERY on February 13, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QS0112X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Oral and Maxillofacial Surgery

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SAN GABRIEL VALLEY ORAL & FACIAL SURGERY below.

NPI Profile for
SAN GABRIEL VALLEY ORAL & FACIAL SURGERY

NPI Number
1467304188
Enumeration Date

(about 4 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SAN GABRIEL VALLEY ORAL & FACIAL SURGERY
Primary location
126 S GLENDORA AVE STE 108
WEST COVINA, CA 91790-3047
Phone: (626) 966-8518 Fax: (626) 967-0990
1 Other location(s):
2453 Huntington Dr
San Marino, CA 91108-2644
Phone: (626) 486-0700
Fax: (626) 486-0706
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
PETER LAM
PARTNER/ORAL SURGEON
Phone: (626) 966-8518
Updated
Certification Date
Feb 13, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QS0112X
- Clinic/Center / Oral and Maxillofacial Surgery (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.