San Clemente Internal Medical Group is excited to continue to offer their patient limited concierge practice provided by Nick J Karahalios M.D. and Steven P Cullen M.D.  Since it’s inception in 2007, this new concept emphasizes the doctor-patient relationship as the foundation to the growing complexities and choices in medical care.  A practice with a limited number of patients will provide the opportunity to develop a partnership that will cater to each patient’s individual needs.