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General NPI Number Information
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NPI Number | 1518585108
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Entity Type | Organization
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Legal Business Name | FULGENT THERAPEUTICS, LLC.
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Dates
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Enumeration Date | 07/09/2020
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Last Update Date | 11/17/2025
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Provider Practice Location Address
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Address Line | 4399 SANTA ANITA AVE
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City | EL MONTE
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State | CA
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Zip | 91731-1648
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Country | US
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Telephone | 626-350-0537
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Fax | 972-767-0225
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Provider Business Mailing Address
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Address Line | 4399 SANTA ANITA AVE
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City | EL MONTE
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State | CA
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Zip | 91731-1648
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Country | US
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Telephone | 626-350-0537
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | PAUL KIM
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Credential |
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Telephone | 626-350-0537
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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