Family medicine at the 4th & Lewis Medical Offices runs through Melanie R. Fiorella MD, a UC San Diego Health physician practicing at 330 Lewis St in Hillcrest. The clinic is part of the UCSD outpatient group catalogued at UC San Diego Health 4th & Lewis Medical Offices, which houses family medicine, integrative medicine, and related primary-care specialties under one roof. The panel handles multigenerational family care from pediatric well-visits through adult preventive medicine and geriatric follow-up. Cross-coverage and specialty referrals run through the broader faculty network at UCSD Medical Group, keeping records and billing inside a single UCSD EMR rather than fragmented across independent practices. The clinic's deepest workflow covers patients seeking a blend of conventional primary care with integrative medicine services delivered in the same building.