NPIMap

Organization Active NPI

Fulgent Therapeutics, LLC.

  • Clinical Medical Laboratory
  • El Monte, CA
National Provider Identifier
1174964738
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
CLF00342581 Issued in CA
Legal business name
FULGENT THERAPEUTICS, LLC.
Practice address
4399 Santa Anita Ave
El Monte, CA 91731-1648
Phone
(626) 350-0537
NPI assigned
Jul 11, 2013
Last updated
Nov 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Paul Kim
Title
Cfo
Phone
(626) 350-0537

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X CLF00342581 CA Primary

Addresses

Primary practice location

4399 Santa Anita Ave
El Monte, CA 91731-1648

Mailing address

4399 Santa Anita Ave
El Monte, CA 91731-1648
Phone (626) 350-0537

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140128001623 CA Part B Supplier - Independent Clinical Laboratory 0941439624 Practice locations: El Monte, CA

National Provider Directory

National Provider Directory

Member organizations 12

Organizations listed as members of this organization in the National Provider Directory.

Locations

4399 Santa Anita Ave
El Monte, CA 91731
Phone (626) 350-0537

4978 Santa Anita Ave
Ste 2
Temple City, CA 91780

4978 Santa Anita Ave
Ste 205
Temple City, CA 91780
Phone (626) 575-3919

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1373500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763337600000",
    "number": "1174964738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4399 SANTA ANITA AVE",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917311648",
            "telephone_number": "626-350-0537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4399 SANTA ANITA AVE",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917311648",
            "telephone_number": "626-350-0537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULGENT THERAPEUTICS, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-11",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "626-350-0537"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLF00342581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Monte, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.