Very good in explaining what will happen and what needs to be done. Very engaging personality and does not talk down to you, and is very receptive to questions. Office staff always greets you by name, so you feel welcome and not simply someone who has an insurance card [or not]. Gives a discount for cash [10%] or check [5%]. I would recommend him very highly -- it's a hike from san diego, but I think he's worth it.