I have been taking my son to NOAH Sierra Health Center for some time now and Dr. Avila and her staff always deliver exceptional care at EVERY visit. Dr. Avila is very professional and always has time to answer my questions (I have A LOT, as I am a first time mother) she is very knowledgeable. I trust the care that she gives my son. I have called the office after hours and their answering service is fast, another great thing that eases my mind. I've had to call the office for same day appointments and have not once been turned away, the receptionist is very kind and has lots of patience. In addition Dr. Avila is bilingual and understands the cultural differences that I value.