Organization
FULGENT THERAPEUTICS, LLC.
Active
Parent organization
FULGENT GENETICS, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
FULGENT GENETICS, INC
Authorized official
PAUL KIM (CFO)
(626) 350-0537
Entity
Organization
Contact information
Practice address
4399 SANTA ANITA AVE, EL MONTE, CA 91731-1648
(626) 350-0537
(972) 767-0225
Mailing address
4399 SANTA ANITA AVE, EL MONTE, CA 91731-1648
(626) 350-0537
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05D2043189
CENTERS FOR MEDICARE & MEDICAID SERVICES
CA
01
—
CDF-00342581
CALIFORNIA DEPARTMENT OF PUBLIC HEALTH
CA
Enumeration date
07/09/2020
Last updated
11/17/2025
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