As Medical Director at the Southern Indian Health Council in Alpine, Niloufar Salehi, DO oversees integrated primary care delivery from the 4058 Willows Road campus near Viejas Casino & Resort. Her osteopathic training produces a whole-person treatment model that bridges conventional family medicine with neuromusculoskeletal assessment, generating referral pathways to pediatric specialists including Karen Hanten, MD on Alpine Blvd. A graduate of Des Moines University College of Osteopathic Medicine, Dr. Salehi completed residency at St. John Macomb-Oakland Hospital and carries board certification in both family medicine and neuromusculoskeletal medicine. Musculoskeletal complaints from the clinic's active outdoor-recreation patient base route to complementary spinal care at Alpine Spine & Sportcare farther east on Alpine Blvd. The SIHC facility serves the Kumeyaay Nation and surrounding East County San Diego communities with medical, dental, pharmacy, and behavioral health departments under one roof, and Farsi-language consultations are available for native speakers. Diagnostic capabilities include on-site laboratory services, osteopathic manipulative treatment for somatic dysfunction, and point-of-care ultrasound imaging for musculoskeletal and abdominal evaluation.