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David B. Smotrich, MD, FACOG, is Founder, Medical Director, and Infertility and IVF Specialist at La Jolla IVF in La Jolla, California.

An empathetic and energetic physician, Dr. Smotrich is known for his highly personalized approach to helping patients build their families using the latest assisted reproductive technology. 

With over 25 years of experience in the field, he has earned a stellar reputation for his unwavering commitment to patient-centered care and his dedication to staying at the forefront of reproductive medicine. His expertise encompasses a wide range of assisted reproductive technologies.

Beyond his extensive knowledge and clinical skill, Dr. Smotrich is celebrated for his compassionate, empathetic approach. He understands that going through fertility treatment can be challenging, and his patients consistently praise him for his ability to provide not only the best medical care but also the emotional support needed during their fertility journey.

Dr. Smotrich is not just a reproductive endocrinologist; he is a beacon of hope, helping individuals and couples fulfill their dreams of parenthood with expertise, care, and unwavering dedication.

At this time, Dr. Smotrich is welcoming new patients. Call the office or use the contact page online to request an appointment.

Dr. G. Ryan Dominguez is a top-rated, board certified, Family Medicine Practitioner who brings two decades of experience to his practice in La Jolla, California. Focused on preventive care and improving patients' overall quality of life, Dr. Dominguez offers extensive services including wellness exams, treatment for sleep disorders; bio-identical hormone replacement therapy, and medically-supervised weight loss, chronic illness management, patient education and more.

Dr. Dominguez’ passion for family medicine evolved from an interest in working with people from all walks of life, an interest in a wide variety of medical conditions, and most importantly, the ability to establish long-lasting relationships with his patients. He believes the most important aspect of the physician/patient relationship is the development of a trusting partnership. His patient-care philosophy is focused on compassionate treatment of the whole person: mind, body, and spirit. Dr. Dominguez takes pride in remaining up-to-date with the current, evidence-based, treatments and technologies.

Voted by San Diego Magazine as one of the area's "Top Doctors" for seven years in a row. Dr. Dominguez is praised by patients for his easy-going and caring bedside manner. He also serves as the Medical Supervisor to a number of Urgent Cares in the San Diego and Temecula area.

A native of Claremont, California, Dr. Dominguez attended the University of California, San Diego, earning a Bachelor of Science in Biology with a Minor in Spanish Literature. He went on to earn his medical degree with a merit-scholarship at Drexel University College of Medicine in Philadelphia. Upon graduating medical school in 1999, Dr. Dominguez returned to Southern California to completed his residency at Sharp Grossmont Family Medicine Residency Program and Long Beach Memorial’s Family Medicine Residency program.

Dr. Dominguez is an active member of the American Academy of Family Physicians, California Academy of Family Physicians, and the San Diego County Medical Society.

In his free time, Dr. Dominguez enjoys any activities that involve the outdoors. His current passion is trail running. He’s found a solid core of men who love it as much as he does. When the pandemic hit, and their annual 24-hour-Ragnar race was cancelled, Dr. Dominguez and his crew ran from one side of the Grand Canyon to the other. For Father’s Day this same crew will run their first 50K in Big Bear.

He has been married for 20 years and enjoys spending time with his wife and daughter.

Dr. Qian is a top comprehensive pain management specialist with 20+ years experience. He is an expert's expert for many challenging and complicated pain cases. He is Founder of Sage Pain & Wellness. 

Dr. Elahe Toulouie is a board-certified internal medicine doctor at her self-named practice, Elahe Toulouie MD Inc., with offices in La Mesa, El Cajon, and San Diego, California. She has over 25 years of experience in the medical field, providing quality care to her patients. 

Dr. Toulouie received her medical degree from the University of Freiburg in Freiburg im Breisgau, Baden-Württemberg, Germany. She completed an internal medicine internship specializing in surgery and gynecology at the University Medical Center in Freiburg, Germany.

While at the University of Heidelberg in Mannheim, Germany, Dr. Toulouis trained in obstetrics and gynecology. She later relocated to the United States and completed training in internal medicine at the University of Pittsburgh in Pennsylvania.

Dr. Toulouie has a passion for health care and extensive experience serving in nursing homes, rehabilitation centers, and hospices for over a decade. 

She has served several California healthcare centers, such as Lemon Grove Rehab in Lemon Grove and Magnolia Special Care in El Cajon, as well as La Mesa Health Care Nursing Home and Arbor Hills Nursing Home in La Mesa. 

Dr. Toulouie also has more than 10 years of experience as a primary medical consultant at the San Diego Rehab Institute, the Sharp Grossmont transitional care unit, and the psychiatry unit in La Mesa.

In her free time, Dr. Toulouie prioritizes time with her two children. She enjoys working alongside her team and meeting the needs of her patients.

Patricia Deckert, DO, founded New Beginnings Health Care in La Mesa, California, in 2001 so she could fulfill her dream of helping her patients achieve optimum health, not just the absence of disease or discomfort. Dr. Deckert practices integrative medicine and works closely with her patients to find the root cause of their illnesses, help them restore balance, and begin to enjoy a healthier, happier future.

After earning a bachelor of science in biological science from Michigan State in East Lansing, Michigan, Dr. Deckert went on to complete her doctor of osteopathic medicine from the Western University of Health Sciences in Pomona, California. Before attending medical school, Dr. Deckert worked with physicians in the field of environmental and nutritional medicine for 15 years.

Dr. Deckert is board-certified by the American College of Osteopathic Family Physicians and board eligible by the American Lipid Association. She’s also a member of the MDVIP Program, which allows her to provide comprehensive annual exams and give her patients the proactive, holistic, and customized care they deserve.

Dr. Tasneem Patel is a Board Certified Family Medicine physician who practices Integrative and Functional Medicine. She earned her medical degree from Touro University College of Osteopathic Medicine in Vallejo, CA and did her residency at Sutter Health Care in Davis/Sacramento, CA. After completing residency she has worked at a county clinic, urgent care clinic and at Kaiser. Now she enjoys practicing integrative (combining alternative treatments) and functional (finding the root cause of ailment to treat) medicine with a primary focus on hormone balance and gut health.

"When I began my medical career, I wanted to “fix” the problems that my patients would present with and initially, I felt like a mechanic doing just that. However, over the years I have enjoyed playing a different role in the health of my patients: the role of a gardener that can help guide you to what your body needs for a solid foundation and then allowing the patient to make the necessary changes and flourish. It amazes me every day that our bodies have the capability to heal us – if we don’t sabotage it!"

Ronald Cohen, MD, is a board-certified specialist in both Family and Sports Medicine. Dr. Cohen is in the top 1% of America’s doctors when it comes to experience and training in regenerative orthopedic treatments – nonsurgical solutions to improve function and reduce pain. At Coastal Regenerative Orthopedics & Wellness Center, he is proud to use his expertise to care for patients throughout San Diego, California. 

For the first 11 years of his medical career, Dr. Cohen was contracted by the Department of Defense to manage and direct the Sports Medicine & Reconditioning program for all of the Marine Corps recruits in the western United States as well as to serve as a special consultant for the Navy SEALs.

He has had extensive experience and training in managing difficult injuries and chronic conditions and has been a licensed Regenexx® affiliate since undergoing advanced regenerative orthopedics training with the Regenexx founders in 2013. As the leading Regenexx provider in San Diego, Dr. Cohen is excited to provide the Advanced Regenexx Procedures to patients throughout the community.

Dr. Cohen has had a distinguished career in medicine and has been recognized by his peers as an outstanding clinician, winning several renowned awards, including the prestigious Master Clinician award as well as being appointed as Assistant Clinical Professor (voluntary) at UCSD School of Medicine.

Dr. Cohen is a dedicated physician and passionate family man who is also an avid golfer, fisherman, and triathlete.

Dr. Elahe Toulouie is a board-certified internal medicine doctor at her self-named practice, Elahe Toulouie MD Inc., with offices in La Mesa, El Cajon, and San Diego, California. She has over 25 years of experience in the medical field, providing quality care to her patients. 

Dr. Toulouie received her medical degree from the University of Freiburg in Freiburg im Breisgau, Baden-Württemberg, Germany. She completed an internal medicine internship specializing in surgery and gynecology at the University Medical Center in Freiburg, Germany.

While at the University of Heidelberg in Mannheim, Germany, Dr. Toulouis trained in obstetrics and gynecology. She later relocated to the United States and completed training in internal medicine at the University of Pittsburgh in Pennsylvania.

Dr. Toulouie has a passion for health care and extensive experience serving in nursing homes, rehabilitation centers, and hospices for over a decade. 

She has served several California healthcare centers, such as Lemon Grove Rehab in Lemon Grove and Magnolia Special Care in El Cajon, as well as La Mesa Health Care Nursing Home and Arbor Hills Nursing Home in La Mesa. 

Dr. Toulouie also has more than 10 years of experience as a primary medical consultant at the San Diego Rehab Institute, the Sharp Grossmont transitional care unit, and the psychiatry unit in La Mesa.

In her free time, Dr. Toulouie prioritizes time with her two children. She enjoys working alongside her team and meeting the needs of her patients.

Dr. Qian is a top comprehensive pain management specialist with 20+ years experience. He is an expert's expert for many challenging and complicated pain cases. He is Founder of Sage Pain & Wellness.