I first saw dr roth 2 years ago when I relocated to Las Vegas. I had to general check ups. I am a very healthy 60 year old and such hadn't desired an appointment until recently. Dr roth has REFUSED to see me because of the 2 year (healthy) lapse in time since my last visit. SO, if you aren't Chronically diseased, dr roth is the poorest choice. I have seen dr. Garcia from the same office and would have to lie to say something positive. Bottom line, the office staff and medical staff really deserve less than 1 star.