Concierge internal medicine capped at 300 patients total defines the membership-based practice of San Diego Docs on Union Street in downtown San Diego's Little Italy corridor. The husband-and-wife physician team holds dual board certifications in internal medicine, delivering adult-only preventive, functional, and evidence-based primary care that complements the integrative wellness model at Saffron & Sage in Bankers Hill. By excluding physician assistants and nurse practitioners from the care team, this practice guarantees that every clinical encounter is physician-led, with visit length determined by clinical need rather than insurance-mandated time constraints. Complex specialist coordination from this Union Street office leverages direct-access referral relationships, including consultation pathways to Barken Israel, MD in Bankers Hill. Highest-complexity services include longitudinal metabolic panels with quarterly HbA1c trending, pharmacogenomic-guided medication optimization, and comprehensive Veterans Benefit medical evaluations under current VA disability-rating criteria.