# LA JOLLA PERSONAL PHYSICIANS MEDICAL GROUP, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043352651
- **Authorized official:** DR. KWI BULOW M.D. (PRESIDENT)
- **Authorized official phone:** (858) 587-4773

## Contact information

- **Practice address:** 9834 GENESEE AVE STE 400, LA JOLLA, CA 92037-1216
- **Practice address phone:** (858) 587-4773
- **Practice address fax:** (858) 587-4785
- **Mailing address:** 9834 GENESEE AVE STE 400, LA JOLLA, CA 92037-1216
- **Mailing address phone:** (858) 587-4773
- **Mailing address fax:** (858) 587-4785

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | G56674 | CA | — |
| 207V00000X | Obstetrics & Gynecology Physician | G57573 | CA | Yes |

## Other

- **Enumeration date:** 02/12/2007
- **Last updated:** 09/11/2025