Back to Santee, CAPure DPC

San Diego Metabolic Health

Direct Primary Care in Santee, CA

Open since

July 6, 2020

280 Riverview Parkway , Suite 101, Santee, CA(619) 492-5787Visit website
  • Facts checked September 24, 2026
  • Telehealth

The practice’s website said it is accepting new patients (checked September 24, 2026).

Membership

Direct Primary Care, ages 17–49

17 – 49 years old

$100 per month

Direct Primary Care, ages 50–64

50-64 years old

$125 per month

Direct Primary Care, ages 65+

65+ years old

$150 per month

Metabolic Health Maintenance, two half-hour visits

$200 for 2 half hour visits/month

Metabolic Health Maintenance, one half-hour visit

$100 for 1 half hour visit/month

Direct Primary Care + BHRT, ages 17–49

17 – 49 years old

$175 per month

Direct Primary Care + BHRT, ages 50–64

50-64 years old

$200 per month

Direct Primary Care + BHRT, ages 65+

65+ years old

$225 per month

BHRT membership

$75 per month

Other published prices

Direct Primary Care enrollment fee

$200/new patient

Metabolic Health Consultation

$350 for a 60 minute consultation

Direct Primary Care + BHRT enrollment fee

$200/new patient

Initial BHRT Consultation Fee

$200

Enrollment fee

$200 per new patient; groups/families capped at $400

Family cap

Enrollment fee for groups/families capped at $400

Who it serves

Adults age 17 and over

Insurance

The membership-based plan is in lieu of billing insurance; patients are advised to keep insurance for emergencies and unforeseen surgical procedures.

Enroll on the practice’s site

Services

  • Direct Primary Care
  • Metabolic Care
  • Medical Weight Loss
  • Body Composition Analysis
  • Bioidentical Hormone Replacement Therapy (BHRT)
  • Comprehensive annual physical
  • Acute care
  • Prevention strategies
  • Metabolic health consultation with lab review and individual recommendations
  • CGM monitoring

In-office labs

Off-site labs are offered at local facilities at a highly discounted rate.

Imaging

Off-site imaging is offered at local facilities at a highly discounted rate, including X-rays, ultrasounds, CT scans and MRIs.

Telehealth, text and phone

HIPAA-compliant video chat, text, email, virtual visits, and same- or next-day appointments for acute needs

Hours

Monday-Thursday9:00AM-4:30PM
Friday9:00AM-3:00PM

Providers

  • Brian Lenzkes, MD

    Board Certified Internal Medicine & Medical Director · Internal Medicine Physician

    NPI 1922101534 · Opted out of Medicare, effective June 17, 2020

  • Leah Koskinen, PA-C

    Board Certified Physician Assistant

About San Diego Metabolic Health

San Diego Metabolic Health is a Pure DPC practice in Santee, California. It serves adults age 17 and over. Services include Direct Primary Care, Metabolic Care, Medical Weight Loss, and Body Composition Analysis. Additional services include bioidentical hormone replacement therapy, an annual physical, acute care, and prevention strategies. Off-site labs are offered at local facilities at a highly discounted rate. Off-site imaging at local facilities includes X-rays, ultrasounds, CT scans, and MRIs at a highly discounted rate. Same- or next-day appointments are available for acute needs. Brian Lenzkes, MD, is listed as a provider and serves as Board Certified Internal Medicine and Medical Director. Leah Koskinen, PA-C, is listed as a provider with the role of Board Certified Physician Assistant. The membership-based plan is used in lieu of billing insurance.

Area

San Diego County, California

Sources

Each fact is shown only while it is recent: prices and hours for 180 days after the check, new-patient status for 60, everything else for a year.

Nearest DPC practices

My Happy DoctorSan Diego, CAabout 8 miProspera Internal Medicine & Aesthetics Medical Center, Inc.San Diego, CA12 miDavid Crabtree, MDSan Diego, CA12 miHealth Matters Direct Primary CareSan Diego, CA12 miFamilyDoctorDirectEscondido, CA18 mi
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