The front desk women, the Lab Corp phlebotomist, and the billing women are all totally unprofessional and rude! I have been going to DCOM at Spring Valley for over 5 years and have been shocked and dismayed and the constant decline in patient care and patient service. It is appalling that this center does not have a management team to reprimand these people who are rude. Not only do they all have shockingly bad manners and are inept, Dr. Burke books out about 6-8 weeks in advance. If you are ill, they will not get you in the same day or even that week, despite the signs posted that says "walk ins" and "same day appointments" are welcome and available. They will tell you to go to Urgent Care. After so many years, I am disappointed to have to look for a new PCP, but I guarantee wherever I go, the staff will be more friendly and professional than here. Good riddance!