Obstetric care at 4168 Front St runs through Mariana Ramos-Rivera MD, a UC San Diego Health obstetrician-gynecologist attached to the Medical Offices South building on the Hillcrest campus. The practice sits within the academic OB/GYN department catalogued at UC San Diego Health Obstetrics and Gynecology - Hillcrest, sharing call coverage with the Labor & Delivery unit one block north. Visit types cover routine prenatal care, annual well-woman exams, contraceptive management, and gynecologic workups. Gynecologic oncology referrals for suspicious pelvic findings route internally to UCSD Medical Center: Saenz Cheryl MD, the academic GYN oncology faculty on the same campus. The most complex cases are high-risk pregnancies with maternal-fetal medicine involvement that require coordinated delivery planning at Hillcrest Medical Center's Labor & Delivery unit.