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    Advanced Veterinary Specialists

    3.7 (189 reviews)
    Open Open 24 hours

    Services - Advanced Veterinary Specialists

    Pet physical or wellness exam

    Pet vaccinations

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    Reviews With Photos

    Kimberly L.

    Dr. Nanelle Barash and her staff have been nothing but supportive, responsive and compassionate since my dog, Lilly, was diagnosed with the awful disease IMHA in June 2024. Advanced Veterinary Specialists is the closest vet to us with a canine internal medicine specialist, an hour and a half drive away. When Lilly was still in crisis after having 3 transfusions in a little more than a week, Dr. Barash was kind and accommodating when she was released from an emergency vet in Santa Barbara following her third transfusion and referred to AVS on short notice. We found Dr. Barash to be straight-forward as she carefully explained the disease, what they know about it, as well as what is still a mystery. Lilly had already been through quite a few tests and scans. Dr. Barash said there were several tests she could do but didn't think they were necessary nor did she want to put Lilly through anymore than she'd already been through unless we wanted peace of mind that her anemia wasn't the result of cancer. We were grateful for her honesty as well as sparing our pocketbooks, but did elect to have another ultrasound of Lilly's spleen. Because IMHA is a marathon and not a sprint, I have complete confidence in the excellent care Lilly will continue to receive from AVS and Dr. Barash, as well as their commitment to communication and treatment coordination with Lilly's primary vet in Pismo Beach.

    Jami N.

    It's the most heartbreaking moment for a pet-owner, having to say goodbye to a furchild who has brought so much joy, meaning, laughter and love to one's life. In those difficult moments of grief, it is a blessing to be surrounded by gentle, empathetic and expert veterinarians like Dr. Mohsenian and staff lending support. Such was my experience this past week as I was parted from my dearest friend. Rest in Paws sweet Murray.

    Cost of treatment
    Sarah S.

    We came on a Monday morning because our dog has been shaking and weak in the legs for 2 days. Without an appointment we checked in and waited about 15 minutes before they took her back. The front staff was extremely welcoming and caring. Dr. Samar Mohsenian examined her (an emergency exam cost $150) and brought us into a room to consult with us on a treatment plan. She was fantastic at explaining what she found from the exam and the path forward. She explained the genetics of our dogs breed and the common problems that may lead to what she was experiencing. Samar was extremely knowledgeable and made us confident that our dog was in capable hands. We waited an hour for the X-rays to be completed and sent to the professional radiologist. The determined a treatment plan and took our dog home. All in all the time it took from walking in to walking out was 3 hours. And actually the price wasn't as horribly high as I thought it might come out to be.

    AVS saved my rescue pup, Chester's life

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    Sadly had to our my beloved boy down and they were as perfect as they could be for such a sad occasion

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    Thank you for the feedback. Your little girl is such a trooper!

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    Page 2 of 5

    Ask the Community - Advanced Veterinary Specialists

    Review Highlights - Advanced Veterinary Specialists

    From the moment Hazel was seen, they were thorough, compassionate, and genuinely committed to finding answers.

    Mentioned in 13 reviews

    Read more highlights

    La Cumbre Animal Hospital

    La Cumbre Animal Hospital

    (102 reviews)

    In response to the owner…read more Your response is disappointing because it completely avoids taking accountability for what actually happened. Hazel did not present with a cough. She presented with difficulty breathing and gagging whenever she opened her mouth to bark or yawn, and that her bark was now non existent. Those were the symptoms I repeatedly reported. You state that medications were provided to keep her comfortable. She was sent home with an anti-nausea medication and an allergy medication. She was not sent home with pain medication or steroids despite the obvious discomfort she was in. So I'm not quite sure where the team "cared so deeply" during her exams or after. You also state that a specialty referral was recommended. That is not what happened. After the test results, Dr. Keusis called me and said Hazel's results were "just leaning towards old age like she'd previously noted". It was then 5 days later only after I expressed how disappointed I was with the lack of recommendations, lack of urgency, and complete lack of follow through, and told Dr. Keusis I was taking Hazel to an internal medicine specialist myself, that a referral was finally offered. I was left to figure out on my own what my next steps should be while my dog continued struggling with her symptoms, and continued to get worse. If laryngeal paralysis was being evaluated, why was Hazel's airway obstruction not identified? If visualization of her larynx was limited, why was I never informed of that? If her airway could not be adequately assessed, why wasn't an immediate referral recommended instead of reassuring me she was "just leaning towards old age" like she'd said? When the internal specialist said the swelling was "obvious". Rather than acknowledging where your care and communication fell short, your response rewrites the timeline to make it appear as though everything appropriate was done from the beginning. It wasn't. I wasn't expecting perfection. I was expecting my concerns to be taken seriously, my dog to be advocated for, and appropriate recommendations to be made without me having to push for them myself. Even now, instead of acknowledging that your team let both Hazel and me down, you've chosen to defend your actions and misrepresent what actually occurred. That lack of accountability is exactly why I wrote the review

    I took my 2 year old Golden in to see Dr. Kuesis for her annual exam this week. This is the 3rd dog…read moreI have owned under Dr. Kuesis care at La Cumbre Pet Hospital. She is an excellent, knowledgeable vet who is very compassionate and gentle with my dog. I really appreciate her giving me different options, not all that I necessarily follow, but allows me to makeup my own mind with all the facts. The tech and office staff are always helpful and cheerful as well.

    Advanced Veterinary Specialists - vet - Updated September 2026

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