I have had 2 appointments to see Dr Desiderio Avila. He seems like a competent doctor but doesn’t seem to have a problem with making you wait. My 1st appointment after peeing in a cup I sat for 40 mins waiting for the doctor to see me. I let him know I didn’t appreciate waiting 40 mins and he gave me the«had an emergency» excuse. My second appt(6 months later) the exact same thing happened. this time when it hit 40 mins I had the receptionist refund my copay and left. My wife was angry and called the business manager who told her that the doctor is often late. Unbelievable! I believe my time is important. Guaranteed if I showed up 40 mins late they wouldn’t see me and would try to hit me w/a no-show fee.