Dr. Paul D. Fournier, MD provides primary care through Sharp Rees-Stealy Downtown on Fourth Avenue in downtown San Diego's Bankers Hill, practicing within a multispecialty medical group that integrates more than 31 subspecialty disciplines under one organizational umbrella. Complex cases requiring endocrinology, rheumatology, or cardiology evaluation escalate through the Sharp Rees-Stealy internal referral system, which routes to specialists like Corrie Broudy, MD in Bankers Hill without requiring separate records transfers or external intake paperwork. The integrated care model at this Fourth Avenue campus consolidates laboratory draws, digital radiography, and pharmacy dispensing with primary care, reducing the appointment burden for patients managing multiple chronic conditions simultaneously. Preventive-care protocols include wellness exams, cancer screenings per USPSTF guidelines, cardiovascular risk calculators, and immunization schedules, with integrative health needs addressed through coordination with providers like Saffron & Sage on Fourth Avenue. Hospital admission privileges at Sharp Memorial Hospital connect this outpatient practice to inpatient medicine, surgical subspecialties, and the Sharp Rees-Stealy urgent care center on Fir Street for after-hours clinical escalations.