California medical license A94422 backs Igor Gavrilyuk, MD, a board-certified internist who earned his medical degree at St. Petersburg State Medical Academy in 1979 and completed internal medicine residency at Loma Linda University Medical Center in 2006. Operating out of 4060 Fourth Ave Suite 100 under San Diego Medical Group since 2008, the bilingual English-Russian practice concentrates on congestive heart failure management in geriatric adults, coordinating overnight polysomnography workups with UCSD Hillcrest Pulmonary and Sleep Research Laboratory when sleep-disordered breathing complicates volume overload. Clinical emphasis covers preventive care, chronic disease management, and cardiovascular risk stratification for adults, and the office participates in the UCSD Health Physician Network through Rancho Family Medical Group. Pre-emigration, the physician served on staff at the Zhitomir First Regional Medical Association in Ukraine and held the highest Ukrainian professional category in emergency medicine before immigrating to the United States in 1999. Chest radiography, echocardiography, and CT angiography orders for ischemic cardiomyopathy workups are fulfilled through UCSD's inpatient imaging pipeline at UCSD Medical Center Rad. The most complex cases handled inside the practice are end-stage CHF in octogenarians with multi-comorbidity overlap, where advance directive planning, diuretic titration, and goals-of-care conversations all concentrate into long appointment blocks.