Concierge internal medicine practice at 9850 Genesee Ave, Suite 810, La Jolla, CA 92037, on the eighth floor of the XIMED Building on the Scripps Memorial campus. Dr. Dominguez operates through the SignatureMD concierge platform, capping patient panels to guarantee same-day or next-day appointments — a membership model that contrasts directly with the high-volume walk-in approach at Perlman Clinic three floors below in Suite 320. Board-certified in internal medicine with Scripps Memorial Hospital privileges. Services include comprehensive annual physicals, chronic disease management, preventive screenings, and specialist referral coordination. Google rating: 4.3 across 26 reviews. The concierge structure means longer appointment blocks and direct physician-cell-phone access — a premium tier above standard primary care pricing, with no insurance billing for the membership fee. Specialists in the same XIMED Building, including Torrey Pines Orthopaedic Medical Group (Suite 210), receive referrals from Dr. Dominguez without the patient ever leaving the building.