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Organization
LA JOLLA PERSONAL PHYSICIANS MEDICAL GROUP, INC.
Active
Organization
LA JOLLA PERSONAL PHYSICIANS MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KWI BULOW M.D. (PRESIDENT)
(858) 587-4773
Entity
Organization
Contact information
Practice address
9834 GENESEE AVE STE 400, LA JOLLA, CA 92037-1216
(858) 587-4773
(858) 587-4785
Mailing address
9834 GENESEE AVE STE 400, LA JOLLA, CA 92037-1216
(858) 587-4773
(858) 587-4785
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G56674
CA
207V00000X
Obstetrics & Gynecology Physician
Primary
G57573
CA
Other
Enumeration date
02/12/2007
Last updated
09/11/2025
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