I haven't been seen by this practice in 12 years, when I moved out of state. I will be returning to the area next year and I'm ecstatic that the practice is still thriving and hopefully I can be seen by them again. I first presented with a set of very painful and baffling symptoms, that in other cases have taken patients many years and many doctors to obtain the correct diagnosis. Dr. Pacheco diagnosed me immediately, was meticulous with lab work and medication choices, and the whole practice made me feel I was in excellent hands. They were equally respectful, punctual and careful with all their patients, as far as I could see. Their medical knowledge and equipment was absolutely current and state of the art. This is medicine as it should be practiced: both an art and a science, by intelligent and dedicated people!