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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