Your Care Team.

Dr. Dinenberg, fellowship-trained in Integrative Medicine, has over 18 years of experience bringing mindfulness practices to healthcare settings. He completed his residency at UCSF and earned his MPH at UC Berkeley. Before joining HLI, he worked in private practice at Scripps Memorial and served as co-founder and CMO at a population health company. Additionally, he has written books on mindfulness and produced a popular meditation album.

Dr. Keen has over two decades of clinical and academic experience. Prior to HLI, Dr. Keen was the Assistant Medical Director and Chief of Echocardiography, Adult Congenital Heart Disease, and Internal Medicine at Kaiser Permanente. He maintains an academic appointment at UCSD as Clinical Professor of Medicine.

Dr. O'Byrne graduated from Rutgers Medical School, completing her residency in Internal Medicine & Vascular Medicine and her fellowship at Cleveland Clinic and the Andrew Weil Center. Her clinical and teaching experience spans over 20 years at Cleveland Clinic, Scripps Clinic, UCSD Medical School and the Veterans Administration Health Center. Additionally, she serves as a medical consultant for the Medical Board of California.

Madison Pachoe is a board-certified Family Nurse Practitioner. She received her BS in Biology from Georgetown University. After working for the CDC for two years, she went on to complete her Master's and Doctorate degree in Nursing at Columbia University with a subspecialty in women's health. She is passionate about the future democratization of preventative medicine and has provided healthcare services to homeless shelters across NYC.

Board certified with a clinical background in Cardiology and Internal Medicine, Abigail has a passion for disease prevention through optimization of all aspects of health and wellness. She considers multidimensional aspects of well-being to treat the whole person, with a goal to not only help you live longer but thrive longer. Abigail has been recognized with Scripps' "Honored Caregiver" award by her patients.

With over a decade of clinical experience, most notably in Internal Medicine at Scripps Clinic Torrey Pines, Jessica is Board-Certified in Adult and Gerontology Primary Care with dual degrees as Nurse Practitioner and Clinical Nurse Specialist. Her approach to precision medicine transcends pharmacologic therapy, encompassing holistic and lifestyle measures tailored to the individual.

Julia Appis is board certified with experience in internal medicine as well as family medicine. She is passionate about preventative medicine and lifestyle modification to achieve optimal health. As a strong proponent of diet and exercise, she enjoys discussing how these elements can fit realistically and practically into someone's life. Her individualized approach to medicine recognizes that each client has their own specific needs that must be addressed to achieve meaningful longevity.

Dr. Guyer is a Yale graduate, UCSF trained physician, and board-certified Internal Medicine physician with 25 years of clinical experience. She combines expertise in internal medicine with an integrative, holistic approach to treating a wide range of conditions. Warm, attentive, and clinically astute, she partners with patients to create preventive care plans, diagnose a complex array of diseases, and support goals to enhance overall well-being.