Our services center around a holistic approach towards medicine and wellness and the belief that the body seeks to find balance and health on its own. Our job then is to provide the resources, opportunities, understanding, and tools necessary for the body to do so. We do this through a combination of preventative and prescriptive care plans that seek to address the root causes of problems, rather than just the symptoms.

We are contracted with several PPO insurance plans, but not all services are covered by insurance. We do not participate in any HMO plans or government programs.

If we do not participate with your insurer, you can be seen at our practice, but on a cash basis.  If there is ever a need for expensive tests or costly vaccines, some patients are able to use their coverage for that through the services of other providers.

Due to the nature of our services, we offer a number of services of our office that are not covered by insurance.  We charge a yearly membership. The first year fee for new patients is $1250 for Dr. Joel Warsh and $1000 for Dr. Tiffany Jumaily and Dr. Jenny Hoffman.  This is a per family fee (not per child) .

Year 2 fee is a prorated and Year 3 and beyond is set at $675 + $50 per child (ie $675 for 1, $725 for 2, etc) currently. Fees are subject to change or increase in the future.

What Your Membership Fees Pay For:

• Personal, attentive care from people who genuinely know and care about you and your family.
• Integrative Medical Services
• Same-day or next-day appointments (whenever possible).
• Minimal or no wait time.
• Prenatal/New patient interview
• Billing services
• Credit Card fees
• 24 hour ability to email or text to your child’s physician. 24 hour on call nursing phone service.
• Direct phone access to the office staff during office hours (no outside call services used for scheduling)
• Top of the line Electronic Medical Record software.
• Environmentally responsible healthcare.  We are as green as possible, reducing paper and we use environmentally responsible products.
• Community advocacy to build a culture of health for everyone in our region.
• Creative delivery of care that is based on the best evidence available for screening tests, prevention, diagnosis, and treatments.

Membership fees do not cover healthcare services provided under insurance coverage. Membership fees also do not cover home visits, specialty laboratory testing, and supplements.

What are your cash pay rates?

REFUNDS:

Insurance & Billing Responsibility Disclaimer

Patients are ultimately responsible for all insurance claims and any balances not covered by their insurance plan. As a courtesy, our billing department will submit claims on your behalf when appropriate and feasible; however, this does not transfer responsibility for the claim to our office.

We make every effort to submit claims accurately, appropriately, and in a timely manner. That said, errors or issues may occasionally occur, including but not limited to incorrect or incomplete insurance information, processing errors, or delays from the insurance carrier.

It is the patient’s responsibility to ensure that all insurance information on file with our office is current, complete, and accurate, and to verify that claims are being processed correctly by their insurance provider. In some cases, we may not be notified of claim issues or denials for several months, which can result in timely filing denials.

While we are happy to assist with appeals when possible, the patient remains responsible for ensuring claims are submitted and processed correctly with their insurance company. Patients may request a superbill at any time and are encouraged to submit claims directly if preferred.

If an error occurs, including one made by our office, it is the patient’s responsibility to identify the issue and take appropriate steps, including submitting a superbill if needed. We will support you where we can, but patients are expected to review all information and remain actively involved in their insurance and billing process.

At IPM, we wanted a logo that portrays our philosophy of integrating western medicine with holistic healing. Our logo shows Hermes staff coming out of a lotus flower.

Did you know that Hermes’ staff of life, called the “Caduceus” is an external representation of the internal energy pathways and their intersections are at certain centers called “chakras”.

Chakra means “wheels of energy”. These energy centers are symbolized on the caduceus by the crisscrossing of the serpents along the staff. The serpents themselves represent the two major energy channels along the spine called the “ida” and “pingala”. The subtle energy flow of the pingala channel is warm and active. It is symbolized by the sun, yang and positive energy. The ida channel is cool and calming. It is symbolized by the moon, yin and negative energy.

The Caduceus is a symbol that can now be seen across the medical field. It is interesting that not many physicians are aware of the ancient history from whence this symbol has its’ origin. The erosion of our connection to the past is unfortunately symbolic of the shortfalls of modern medicine and where Integrative Medicine can complement our care and bring medicine back to its roots.

Yes. We schedule phone interviews for all potential patients. Please visit our homepage and sign the interview intake form. Our staff will reach out within 2-3 business days and will set up a phone interview with the doctor of your choice if the doctor is able to do an interview at this time.

Have you ever wished that your pediatrician would use or prescribe something other than prescription medications and antibiotics for mild illness or chronic conditions? Have you gone to a holistic practitioner and wished that they were slightly more conventional in their approach and used evidence based methods?
IPM seeks to find a happy medium between modern medicine and holistic care. We strive to blend Western Medicine and Eastern Medicine into one simple term, “MEDICINE”. We believe that 21st century care and the medicine of the future is personalized care that combines the best of both worlds. We are comfortable using antibiotics and medications when they are absolutely necessary. We are just as comfortable using diet, supplements, herbs, essential oils, homeopathics and other holistic modalities when appropriate. We don’t just treat symptoms (though we will when appropriate). We work to find the root cause of your child’s chronic complaint or condition and treat your child as a whole.

Holistic treatments we commonly use or refer patients to include:

• Diet and Nutrition assessment (Food Is Medicine!)
• Lifestyle changes
• Probiotics and other Supplements (fish oils, specific vitamins and minerals, etc.)
• Herbal and plant-based therapies, essential oils
• Homeopathy
• Eastern Medicine (TCM, Ayurveda)
• Breathing, Yoga, Meditation, relaxation techniques, and biofeedback

We offer lifestyle & nutritional services. We believe that optimal nutrition and lifestyle are the foundation to health, and that is why we have several nutritionists and health coaches as part of our collaborative care team and often send families to spend extended time working on a nutrition plan. We will help you learn how to use Food As Medicine! We will teach you about environmental toxins and easy ways to minimize their effects on your family’s health.

We also offer the most advanced food sensitivity and allergy testing available, including pain-free finger prick food panels. We also can provide testing for heavy metals and various other environmental toxins.

Poor diet and toxins are affecting nearly everyone in our community. We want to work with you to make sure your children and family are not one of these affected individuals.

Birth

After birth, your child will typically be evaluated within 24 hours by a hospital-based pediatrician. Our doctors are affiliated with Cedar Sinai Hospital and work with the hospitalist staff for any patients that are admitted there. You can go to any hospital you choose as our doctors do not generally go to the hospital and all hospitals in the area now have a pediatric team that’s take care of you while you are admitted to the hospital. Again, our doctors do not generally go to any hospitals. We are always available by phone to answer any questions or provide a second opinion.

Newborn visit Day 3-7 visit
We look forward to meeting your baby after you bring them home from the hospital.  The newborn visit is our favorite visit. Your baby should be seen within 3 days of discharge from the hospital, and ideally within 24 hours if there are any concerns or issues to follow up on, if possible. We will always fit your newborn in for a visit.

On very rare occasions, home visits can be arranged with Dr. Joel, Dr. Jenny and Dr. Tiff, though we prefer to see all patients in office where we have all of our equipment and staff.

The First Year of Life: 2 weeks, 1 month, 2 months, 4 months, 6 months, 9 months.
The first year of your child’s life has quite a few well child visits! These visits are more frequent because your child grows and develops at such a rapid rate. You will meet with your doctor every time to establish a relationship and to monitor your child’s development and physical health. Common discussion topics include: breastfeeding, nutrition, sleep, and safety.

The Second Year of Life: 12 months, 15 months, 18 months.
The well child visits in the second year of life are for continued monitoring of growth and development, nutrition, and physical health. Anticipatory safety guidance and appropriate screening for any developmental delays are crucial at this age. Your child will become more and more independent, and therefore discipline and behavior management are also common topics of discussion.

Entering the Third Year of Life (2-3 years): 2, 2.5, 3 years
The Well Child Visits in the third year of life are mostly focused on your child’s continued progress in growth and development, with particular attention to language, behavior, and social functioning. Many parents will also want to discuss sleep, diet, and milestones such as toilet training.

The Rest of Childhood (3-10 years): Annual Well Child Visits
Once your child is three years old, Well Child Visits become annual. Well child visits during these years get more dynamic as children begin to participate in discussions of nutrition, growth, safety, self-care, sleep, developmental, and behavioral needs are growing and changing.

The Young adult/Teenage (11-21+ years): Annual Well Child Visits
These well visits often occur under the guise of the “sports physical”, however, they serve a much more significant purpose. Your child is becoming an adult before your eyes, and is hopefully taking on more responsibility in terms of self-care. Topics of discussion include diet and nutrition (always!), exercise, mood, school, and behaviors common to their age group. Occasionally the visit will involve confidential issues that your child wants to discuss with a person they know will be a reliable source of information.

How long are visits?
Most insurance-based pediatricians are only able to spend 2-3 minutes on average for sick visits and 10-15 minutes for check-ups or less with your child before they have to attend to the next patient.

Fee-for-service practitioners are happy to spend additional time, but they will charge you for every additional minute. IPM offers another option. The standard annual fee you invest in your family’s health allows us to take more time to address your child and family’s needs and focus on preventing future problems and disease and covers those services, we find essential that insurance does not cover.

On average, our sick visits are 10-15 minutes and well check ups are 20-30 minutes, but like everything else, we believe in individualized medicine. We often have extended first appointments that are 30 minutes to 1 hour or more depending on the complexity of the patient. We schedule visit length collaboratively with our families based on the complexity of the child and the problem(s) that need to be addressed. If a patient/parent asks for extra time, we will do our best to accommodate.

Evening and Weekend Hours:
We offer a very personalized and specialized service. Like anyone else, our staff requires time each week to rest and recover and value our evening and weekend time with our family. We offer home visits and evening/weekend hours by special request only as our physicians are available on a case by case basis. We do not routinely perform well check ups after hours, though the doctors do go into the office at times on the weekend to see sick visits if they are available. Additional fees may apply.

We take our time when your child is sick. We leave space in our schedule every day to see sick children so please call us and we will get you in. We aim to get all patients in for same day sick visits as the schedule allows and depending on the time of your call, or first thing the next morning.

Our support may include herbs, natural supplements, as well as medications when needed. Your visit may take 5 minutes or it may take much longer. If you feel your concern is complex, please let us know so we can schedule the appropriate amount of time. In order to minimize your waiting time, we schedule sick visits during the day by appointment only and we almost always see you the same day (or next day if non urgent and calling at the end of the day).

Ever wished you had more access to your child’s doctor? Ever wished physician offices would use modern technology for parents on the go? Families in our practice have 24 hour, 7 day a week call service and direct access to our physician via email, and our secure text messaging app at any time of day or night if needed for emergency situations.

We ask that for non-urgent questions, you call during office hours or send an email. For emergencies, please dial 911. For urgent matters after hours, Dr. Joel, Dr. Jenny and Dr. Tiff use OhMD which is a HIPPA secure texting app or you can call the office phone line. Download the app, enter Joel Warsh, Jenny Hoffmann or Tiffany Jumaily (whichever is your primary doctor) and text as needed. We ask that you are respectful of our time after hours and only message if absolutely necessary. We also have a back up nursing line in case, for whatever reason, you can not get ahold of the doctor right away (which is extremely rare). We are here for you if you need us!

When you call and schedule an appointment, time is reserved especially for you and no one else. Since the appointments are often longer than standard office visits, cancellations are significant interruptions to the clinic. Thus, a minimum of 1 business day (24 business hour) notice is required for cancellations of office visits and for well check-ups.

A no-show fee of $85 will be charged for no-shows or late cancellation. After the first occurrence, a no-show fee of $125 will be charged. This fee is subject to increase in the future. Continued no show or late cancellation or showing up late for appointments is grounds for discharge from the practice.

Cancellation of a visit must be made at least 24 business hours prior to your visit including telemedicine visits. If the visit falls after a weekend of holiday, the cancellation must be made 24 business hours prior, ie on Friday for a Monday visit. This is to ensure that all time-slots are filled for patients and slots are not taken that could otherwise be used by a patient in need of a visit. If you book a visit within 24 hours of a slot, all cancellations or no shows will incur the late cancel/no show fee.  We have a 5 minute grace period for late arrival for a booked appointment. If you arrive after 5 minutes from your scheduled time, we may not be able to see your child. We will fit them in if the schedule allows in the next available slot. No show charges will still apply.

We also require that all new patients complete and return their new patient paperwork no later than 7 days prior to your appointment (especially for new consults with extensive medical histories that our physicians need to read through to appropriately plan for your visit). If the new patient paperwork is not received, we may have to reschedule the appointment and cancellation fees may be applied.

If you arrive to a visit and your insurance is not active, you may pay cash for the visit or reschedule and late cancel fees will apply. You are responsible to ensure an active insurance before you arrive to your visit.

In addition to regular lab testing which are generally covered by insurance, our clinic utilizes specialty lab tests on a case by case basis. These are usually an out-of-pocket expense.

Functional Medicine testing is generally not covered by insurance or only partially covered. If you decide to submit to your insurance, please note that though we have not experienced this ourselves, we have heard patients have nightmare experiences with insurance companies. WE ALWAYS RECOMMEND PAYING THE CASH PRICE FOR FUNCTIONAL TESTING. We understand that the provider price and insurance price may be lower than the cash price, but you won’t run into any headaches if you pay that price upfront and you won’t run into an insurer telling you something was covered only to find out later that it was not and be left with a hefty bill.

Patients will be responsible for full payment of any testing they require/request upfront if using provider or insurance pricing. Our office is not responsible for any payment of your functional testing and can not predict what your insurance company will do, or cover, after you take the test.

Payment for all testing is your responsibility. We will help guide you to the best of our ability, but payment and coverage changes daily. Please call your insurance company to discuss any questions you may have about coverage.

Again, if you have a policy that has a very high deductible, you may want to consider paying cash for your labs to save yourself a great deal of money. For instance, a common list of labs drawn, if not covered by your insurance (because of your deductible) would run around $2000, but if you paid cash prices it would cost you around $300. This is a significant saving. You should check with your insurance provider before your visit to see if, despite your deductible, labs are covered. We want to prevent heartache, but this is YOUR insurance and each policy is different. Avoid being surprised.

We offer a variety of testing and will look into any test you are interested in ordering and discuss with you our thoughts on it. Some of our more popular tests include:

• Comprehensive Stool Testing [PDF]
• Nutreval Comprehensive Nutrition (Vitamins, Minerals, Metabolism) [PDF]
• Toxic Metal Hair Analysis [PDF]
• 23andMe Genetic testing

Yes. We commonly offer telemedicine visits for our established patients, when appropriate. You can reach out at any time to Dr. Joel, Dr. Jenny and Dr. Tiff on OhMD which is a HIPPA approved texting app.

For over the phone prescriptions we will evaluate on a case-by-case basis. It is best practice to evaluate a patient in person or at least via telemed before prescribing an antibiotic or other prescription, so ideally, we ask you to call and book an appointment if you have concerns. For low risk situations, we may prescribe a medication and ask that you follow up with a visit in the next available time slot.

In order to establish a doctor/patient relationship with us, you must see us in our office in person at least once per year.

We sell a variety of vitamins, supplements, essential oils and homeopathic medicine in the office or online, in liquid, chewable or easy to swallow capsules. Please ask our staff for recommendations.

We can often get a better deal for you than you can find online on Amazon or Wholefoods because we are able to cut out the middle man. We also caution our families against buying any supplements from Amazon as they are often stored in large warehouses in less than ideal conditions.

Dr. Joel and Dr. Tiff are Pediatricians and therefore focus mainly on children from birth into their 20’s. They do see some adults on a case-by-case basis. They often performs basic testing and treatment protocols on family members as appropriate. They may also order functional laboratory tests for adults if appropriate.

We have a collaborative care team and many of those practitioners work with adults. Please contact us and we will point you in the right direction.

• If you have an emergency threatening life, please call 911
• If you have a concern about a potential poisoning contact the Poison Control Hotline 1-800-222-1222 (assuming there is no immediate danger)

Here is a list of urgent care and emergency departments that are commonly used by our patients.

Urgent Care

MVP Pediatric and Urgent Care
18555 Ventura Blvd.
Tarzana, CA 91356
Phone: 818-614-3088

Cedars-Sinai Medical Group Urgent Care
8501 Wilshire Blvd, Suite 150
Beverly Hills, CA 90211
Phone: 310-248-7000

PM Pediatrics

8731 W Pico Blvd

Los Angeles, CA 90035

Phone:  (310) 312-5437

UCLA Pediatric Urgent Care
200 UCLA Medical Plaza , Suite 265
Los Angeles, CA 90095
Phone: 310-660-7270

UCLA Urgent Care
10250 Santa Monica Blvd, Suite 2440
Los Angeles, CA 90067
Phone: 310-286-0122

Emergency Departments

Cedars Sinai Medical Center ER
8700 Beverly Blvd
Los Angeles, CA 90048
Phone: 310-423-3277

Children’s Hospital Los Angeles ER
4650 Sunset Blvd
Los Angeles, CA 90027
Phone: 323-660-2450

Ronald Reagan UCLA Medical Center ER
757 Westwood Plaza,
Los Angeles, CA 90095
Phone: 310-825-9111

Providence Tarzana Medical Center
18321 Clark St, Tarzana,
CA 91356
Phone: (818) 881-0800

When you visit a Functional Medicine practitioner, you can expect to spend a lot more time with them than you would with a conventional provider. You can also expect to do a lot of talking, as a big part of Functional Medicine is exploring your detailed personal and family history, the circumstances around your first symptoms, and the experiences you may have had with other healthcare providers. The Institute for Functional Medicine teaches practitioners how to uncover the underlying causes of your health problems through careful history taking, physical examination, and laboratory testing.

In addition to doing a lot of talking about your history, the practitioner will ask about your mental well-being, spiritual health, and social factors. Considering these areas helps the Functional Medicine practitioner see your health in the context of you as a whole person, not just in terms of your physical symptoms.

The Functional Medicine provider may do a detailed examination of your body to see if there are any visible signs that provide clues to what is going on under the surface.

They may also suggest that you submit samples for laboratory testing; some of these tests are the same ones used by conventional clinicians, but others are specialized tests that can help determine the causes of your illness. This might include genetic testing, which can show if the genes you inherited from your parents may make your more susceptible to certain types of health problems.

Treatment and consult plans are as comprehensive as needed. We believe in individualized medicine and treat each patient differently.  Most health issues can be successfully treated as long as the right causes are identified. Some people can be completely restored to optimum function, while others can see substantial improvement in their condition. You can also take steps to help prevent your disease from worsening.

The treatment plan will usually include making some changes in your lifestyle: what you eat, your physical activity, how you deal with stress, your exposure to potentially toxic substances, and other factors. The point of these changes is that your genetic makeup, the genes that you inherited from your parents, are designed to work well in a specific environment. Sometimes, when genes are exposed to the wrong environment, they don’t work as they should, and this can lead to health problems.

The good news is that, although individual genes may make you more susceptible to some diseases, your genes may be influenced by everything in your environment, as well as your experiences, attitudes, and beliefs. That means it is possible to change the way genes work in your body. So, changing your environment can make the genes work the way they were designed to, returning you to health.

Per CA law

For informational purposes only, a link to the federal Centers for Medicare and Medicaid Services (CMS) Open Payments web page is provided here. The federal Physician Payments Sunshine Act requires that detailed information about payment and other payments of value worth over ten dollars ($10) from manufacturers of drugs, medical devices, and biologics to physicians and teaching hospitals be made available to the public.

https://openpaymentsdata.cms.gov.

Functional Medicine determines how and why illness occurs and restores health by addressing the root causes of disease for each individual. The Functional Medicine model is an individualized, patient-centered, science-based approach that empowers patients and practitioners to work together to address the underlying causes of disease and promote optimal wellness. It requires a detailed understanding of each patient’s genetic, biochemical, and lifestyle factors and leverages that data to direct personalized treatment plans that lead to improved patient outcomes.

By addressing root cause, rather than symptoms, practitioners become oriented to identifying the complexity of disease. They may find one condition has many different causes and, likewise, one cause may result in many different conditions. As a result, Functional Medicine treatment targets the specific manifestations of disease in each individual.

11650 Riverside Drive, PH 2A, Studio City, CA 91602