Optimal Health Medical Group
Reviewed by Vial Editorial · October 1, 2026
San Diego, CA · Serves 1 state
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Optimal Health Medical Group is a TRT clinic available in 1 state. We found no FDA, OIG, or DEA actions in the records we checked. Pricing was not publicly listed, so total cost should be confirmed before signing up.
Why this score?
The Vial Score measures how much of this provider's public record Vial could confirm, and how clearly the provider discloses it. It does not measure quality of care.
| 85-100 | High Confidence |
| 70-84 | Well Documented |
| 50-69 | Limited Confidence |
| 0-49 | Flagged |
Optimal Health Medical Group scores 81, in the Well Documented band. The score moves when the public record changes. For Optimal Health Medical Group, the item most likely to move it: Pricing.
Payment never changes a score.
4 of 6 checks complete. The remaining checks have not been run yet. Missing checks reduce how complete the profile is. They are not a finding by themselves.
Score history
- 81June 2026Record updated
- 54June 2026Record updated
- 71June 2026Vial scoring update
- 67May 2026Record updated
- 59May 2026
What we found on Optimal Health Medical Group
We reviewed FDA enforcement records, DEA registration, HIPAA breach records, and NPI registration.
Optimal Health Medical Group has no FDA, OIG, or DEA actions in the records we checked. It lists named physicians and appears to serve 1 state. We did not find public pricing, and the pharmacy relationship should be confirmed directly.
Optimal Health Medical Group has more public information available than many providers in this category we track. The main gap is pricing: we could not confirm the all-in monthly cost from public information. Before signing up, ask about medication cost, consult fees, shipping, cancellation terms, and which pharmacy fills the prescription.
Why this score: 4 of 6 checks complete. Each links to the public source it was verified against.
A check we haven’t completed yet is not a mark against this provider. It just means we’re still sourcing that record. The score reflects what we’ve confirmed so far, and updates as more checks come in.
Vial describes the record, not the provider. This is not a medical recommendation or endorsement. Last reviewed October 1, 2026.
Our take
Vial EditorialBased on the records and public materials we reviewed.
Optimal Health Medical Group is a La Jolla, California practice offering testosterone and hormone therapy, peptides and longevity care, largely by telehealth, through monthly membership tiers. Its notable feature is a single physician at its center: the site names its founder, Michael Nielsen, MD, and describes his training at UC San Diego. The drawbacks are thin independent evidence, a site with visible gaps, and a state medical board record for the physician, set out below.
What it costs
Care is sold as a monthly membership, from $250 to $3,000 a month. Core is $250 a month for email and phone access with a 48-hour response time, one lab a year that the patient pays for, a personalized treatment plan, a la carte access to treatments and an annual video consultation. Concierge is $1,000 a month for email, phone and video access with a 24-hour response time, two labs a year paid by insurance or the patient, discounted access to hormones and peptides, and monthly telehealth consultations. Longevity is $3,000 a month for email, video and in-person access with a 12-hour response time, quarterly lab work with insurance included, monthly in-person or video consultations, and advanced diagnostics including MRI and CT scans. The price of the medication itself is not published on the pages we checked. The practice says no insurance is required because it operates outside the insurance system, and that you are never locked in and can pause or cancel by contacting the team. Two statements on the same page do not fit together: the FAQ says the entire process is powered by telehealth and you never have to visit a physical clinic, while the Longevity tier promises in-person consultations. The site's disclaimer page describes credit tradelines rather than medical care, so it offers no medical disclaimer at all.
Sources: ohmedgroup.com · ohmedgroup.com
What patients report
There is almost no independent review evidence. Dr. Michael Nielsen's Healthgrades profile, which is unclaimed, shows 4.0 stars from four ratings, 75 percent five-star and 25 percent one-star, with a single written review praising him as thorough in reviewing labs and responsive. Four ratings cannot describe a practice. Reddit was not sampled.
Sources: healthgrades.com
What the record means
Vial scores Optimal Health Medical Group 81 out of 100, Well Documented.
We found no FDA, OIG, or DEA actions and no HIPAA breach for Optimal Health Medical Group in records checked September 2026. Its founder, Michael Nielsen, MD, is publicly identified and is the only clinician named. LegitScript certification has not been checked. The practice does not name its pharmacy partner. The Medical Board of California entered an order against Michael Warren Nielsen, M.D. on December 8, 2021. The order is published at https://www2.mbc.ca.gov/BreezePDL/document.aspx?path=%5CDIDOCS%5C20211208%5CDMRAAAJD9%5C&did=AAAJD211209005117872.DID.
Worth asking before you choose
Ask these before you sign up.
- 1Which pharmacy fills the prescription?Pharmacy
- 2What is the total monthly cost, including consults, medication, labs, and shipping?Cost
- 3Who prescribes the medication, and are they licensed in my state?Physician
- 4What happens if I cancel or stop treatment?Cancellation
Screenshot these or show your doctor: they’re the same questions Vial would ask.
Compare record details
Near-identical on the public record; the choice comes down to fit: treatment type, state availability, and pricing.
| Optimal Health Medical Group | Aesthetic & Anti-Aging Medicine: Maria Sulindro-Ma, MD | |
|---|---|---|
| Federal actions | None found | None found |
| Vial Score | 81/100 | 76/100 |
| LegitScript certified | No | No |
| States served | TX | 1 state |
What Vial measures, and what we don’t
We evaluate public records: federal enforcement history, registrations, certifications, and how transparent a provider is about its clinicians, pharmacies, and pricing. We don’t score bedside manner, clinical outcomes, or customer satisfaction, and we don’t collect user reviews.
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