La Jolla Personal Physicians Medical Group, Inc.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

G57573 Issued in CA

Legal business name

LA JOLLA PERSONAL PHYSICIANS MEDICAL GROUP, INC.

Practice address

9834 Genesee Ave Ste 400
La Jolla, CA 92037-1216

Phone

(858) 587-4773

Fax

(858) 587-4785

NPI assigned

Feb 12, 2007

Last updated

Sep 11, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kwi Bulow, M.D.

Title

President

Phone

(858) 587-4773

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1043352651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9834 GENESEE AVE STE 400",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371216",
            "telephone_number": "858-587-4773",
            "fax_number": "858-587-4785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9834 GENESEE AVE STE 400",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371216",
            "telephone_number": "858-587-4773",
            "fax_number": "858-587-4785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA JOLLA PERSONAL PHYSICIANS MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "BULOW",
        "authorized_official_first_name": "KWI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-587-4773",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G56674",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G57573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• La Jolla Radiology Medical Group Therapy, Inc
• La Jolla Recovery Inc (La Jolla Recovery)

• Obstetrics & Gynecology Physician in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.