I am not giving stars for this practice's cleanliness because cleanliness should be expected of a medical practice. I will give two stars for the inability to answer questions or listen to patient concerns. \n\nYou may not see the doctor, but the PA, which is fine, but be prepared for that if you prefer to see doctors and not assistants. I do not mind seeing PAs IMHO.\n\nIn my experience, Spectrum Dermatology sent over expensive name-brand Rxsto my pharmacy even when I specifically ask for generics (after all, I did your homework and know what is covered by my insurance). This lead to the most annoying back-and-forth argument between my pharmacist and the Spectrum assistants as they tried to fix the problem. Electronically shipping off my prescription is not convenient when I have to spend four days trying to get what I originally asked for. Perhaps if I firmly asked three times I will get what I asked for. \n\nSpectrum Dermatology states it has a 24 hour return phone call policy with any questions you may have. This is apparently a suggestion in my opinion. I called once to discuss the Rx issue above (call back within 48 hours) and I called again regarding how to take a prescription (it's been FIVE DAYS without a return phone call). I think this is unacceptable for a medical facility. \n\nFurther, I am disappointed with the Staff's response to my concerns regarding a Rx side effect. When I voiced my concern, I was told that my Rx concern was not a side effect, but then the Rx insert and PHARMACIST told me otherwise. \n\nOverall, very disappointed and will not be returning. If I can expect this runaround for my current issue, then I cannot imagine having to deal with this facility if I had something more serious.