Celva Bio / The Experience
§ 003 · Travelogue From San Diego → Hospital Angeles, Tijuana

A clinic, over a border, inside a hospital.

The honest version of what a treatment day looks like, the hour you leave home, the lane at the border, the floor your suite is on, who hands you what, how you get back. Written so you can plan it yourself, or hand the page to someone who's planning it for you.

Door to door 5 – 7 hours From a San Diego hotel, same-day return
Border time 12 – 25 min Medical lane, northbound & southbound
Suite Level 4 · Private Hospital Angeles, Tijuana
Companions One welcomed Partner, family, or translator
§ 003.1 · A single treatment day

What happens between 7am
and your hotel pillow.

A standard treatment day for an IV longevity infusion. Joint and neurologic days run longer because of imaging, a procedure room, and a 90-minute observation window; your coordinator sends a tailored itinerary the week prior.

  1. 07:00 · Hotel

    Driver collects you from the lobby

    Light breakfast if your protocol permits, the coordinator confirms the day before. No cash needed at any point.

  2. 08:10 · Border

    Northbound medical lane, southbound PedWest

    You cross on foot in the PedWest lane, passports out, about eight minutes. The driver meets you on the Mexican side.

  3. 08:35 · Hospital

    Arrival, Hospital Angeles Tijuana

    Private entrance on Paseo de los Héroes; no waiting room. Intake is done in your suite.

  4. 09:00 · Suite

    Vitals, IV placement, baseline labs

    Nurse + physician both present. You meet the pharmacist who will reconstitute your dose downstairs.

  5. 10:00 · Infusion

    MSC infusion begins

    Runs approximately 45 minutes. You're reclined, connected to a continuous monitor; a physician is on the floor the entire time.

  6. 11:30 · Observation

    90-minute monitored rest

    Lunch arrives, a real plate, not crackers. Your coordinator reviews aftercare with you and your companion.

  7. 13:00 · Wrap

    Discharge, take-home summary

    Printed chart note, lab values, medication list, and the coordinator's mobile number. Driver pulls up.

  8. 15:30 · Border

    Northbound medical lane

    The letter of medical necessity routes you through the Ready Lane; typical wait 12 – 20 minutes.

  9. 16:00 · Hotel

    Back at your San Diego hotel

    We ask for a short video check-in at 48 hours, and a brief call at 7 days. Everything else is on your schedule.

§ 003.2 · The crossing

Twenty-four kilometres,
one honest border.

We don't hide that it's Mexico. We also don't make it feel like Mexico, the parts that matter to you (the driver, the lane, the letter, the return) are handled. Here's exactly how.

§ 003.2.a · Logistics ledger

Every number, from the border card to the return flight.

We publish typical times because "it varies" is the dodge that wastes a day. These are actual medians from the last 12 months of patient travel, not marketing estimates.

Passport or passport cardWe re-confirm the week prior Required · both ways
FMM tourist form Not required · stay < 7d
Southbound crossing (foot, PedWest) 6 – 14 min
Northbound medical lane (vehicle) 12 – 25 min
Sentri / Ready Lane eligible vehicles < 10 min · typical
Driver & car, round trip Included · every package
Letter of medical necessity (bilingual) Issued by clinic · carry on person
Emergency contact on file with U.S. consulate Optional · we file if requested
Flight home window · same day After 19:00 · SAN
§ Journey guide Ed. 04 · 2024

The crossing,
in your pocket.

  • 01Before you flyp. 3
  • 02The morning ofp. 7
  • 03Border & hospitalp. 12
  • 04Going homep. 18
  • 05Contacts & codesp. 22
Celva Bio · Patient edition Pg. 01 / 24
§ 003.2.b · Take it with you

A 24-page guide you can hand to whoever's planning it for you.

Everything on this page, printed in the order you'll use it. Border paperwork checklists. A map with the medical lane marked. The coordinator's direct line. The Hospital Angeles address in both languages. What to pack, and what not to.

What's in it
Checklists, maps, phone tree, day-of timeline, medication hold list.
Format
Read on the page · 24 sections · save as PDF or print from your browser.
Last updated
November 2024 · revised quarterly with the coordinators.
§ 003.3 · Where you are treated

Not a clinic
upstairs from a dentist.

Most cell therapy in Mexico is delivered out of small, standalone clinics, some excellent, most not. Celva Bio operates inside Hospital Angeles Tijuana: a 116-bed JCI-accredited private hospital, part of Angeles Health, one of Mexico's largest private hospital networks. Your suite is on Level 4. If anything clinical happens, anything, the ICU is on Level 2 and the ER is on Level 1. That is the entire argument.

F · 001
JCI-accredited private hospital · over 40 years serving regional and international patients
150 BEDS · LEVEL III
F · 002
On-site intensive care, cardiac & stroke codes
24 / 7 · LEVEL 2
F · 003
In-house pharmacy compounds your dose the morning-of
GMP · COFEPRIS
F · 004
Full imaging, 1.5T MRI, 128-slice CT, ultrasound
SAME DAY · IN-SUITE REPORT
F · 005
English-speaking physicians & nursing staff, floor-wide
BILINGUAL · DEFAULT
F · 006
Records shared electronically with your U.S. physician
PDF · HL7 · ON REQUEST
Scenario
Typical MX cell-therapy clinic
Celva Bio · Hospital Angeles
You have an infusion reaction
911 call, city ambulance, unknown ER
Code team in your suite within 4 min; ICU on Level 2
Same-day MRI needs a read
Outside imaging center, 24 – 72h turnaround
Radiologist reads in-house, same-day report
Post-treatment fever at 48 hours (hotel)
Message the doctor's WhatsApp, hope for a reply
Direct line to the on-call physician on our floor
Your U.S. physician wants your chart
Often a PDF scan of handwritten notes
Structured EMR export, lab values, imaging links
Anesthesia or sedation is needed
Rarely available on site
Board-certified anesthesiology in-house, 24/7
§ 003.4 · The rooms you'll be in

Three rooms,
on purpose.

We don't design for Instagram. Each room is picked for a job, the intake happens where intake should happen, the infusion happens where you can be safely monitored, and the lab is its own sealed environment upstairs. You'll likely only see two of these in person.

HR 64 · SpO₂ 98 FIG. 03.C · Suite 4-08
Room 01 · Private suite · Level 4

A hotel-quiet room with real medical bones.

Eight suites on our floor. Recliner & a companion chair, en-suite bath, a window that actually opens, continuous patient monitor at the bedside, oxygen and suction wall-ports. The infusion runs here; so does the 90-minute observation after.

Floor Level 4 · above the noisy wards
Size 28 m² · recliner + companion chair
Monitor ECG · SpO₂ · NIBP · temp · continuous
Nurse ratio 1 : 2 · during active infusion
FIG. 03.D · Proc. room 4-02
Room 02 · Image-guided procedure room

For joint & spinal work, not a back office.

Articulated C-arm table, GE LOGIQ ultrasound, fluoroscopy when indicated. Intra-articular and epidural placements happen here under imaging, not "landmark-guided" in a recliner. The orthopedic physician stays in the room for the full procedure.

Imaging US + fluoroscopy · dual-modality
Sterile field ISO-7 · HEPA positive-pressure
Anesthesia Local · conscious sedation available
Used for Knee, hip, shoulder, spine, SI joint
BSC · ISO 5 37.0°C 5 % CO₂ 1800 RPM HEPA · H14 FIG. 03.E · Lab (no visitors)
Room 03 · GMP cell-processing lab

You will not be allowed in here. Neither are we.

Only the processing team enters this room. It is a clean suite with laminar-flow biosafety cabinets, certified incubators, and a chain-of-custody tracking system that logs each vial from thaw to bedside. The door is 20 steps from your suite; we can walk you past it.

Classification ISO 5 / Class B · GMP
Regulator COFEPRIS · licensed facility
QC release Viability · sterility · endotoxin · identity
Chain of custody Barcoded · door-to-vein log
§ 003.5 · Who you'll meet, and when

Seven people,
none of them a stranger by 11am.

You meet each of them by name. Each has a specific job, a specific time-window, and a specific thing they'll ask you. No one is "the assistant" or "the guy from upstairs." If anything comes up after you go home, two of them are on your phone.

Patient coordinator, warm front-desk coordinator
01 · Concierge

Patient coordinator

Pre-arrival · day-of · 30-day follow-up

Your primary point of contact from the first call. Books hotel, driver, pre-visit labs; runs the day; stays on your phone afterward.

Meets you · 07:00 & on phone thereafter
Dedicated driver, professional man in a suit
02 · Transport

Dedicated driver

Background-checked · bilingual · Sentri-enrolled

Same driver both legs of the day. Car seats four, bottled water, phone charger. Knows the lanes, knows the letter.

Meets you · 07:00 lobby
Lead infusion nurse in scrubs
03 · Nursing

Lead infusion nurse

Licensed RN · Mx · bilingual

Takes your vitals, places the IV, stays on the floor for the full infusion and the observation window that follows it.

Meets you · 09:00 · suite
Attending physician in a white coat
04 · Physician

Attending physician

Regenerative medicine · board-certified

Final pre-treatment review. Ordered your protocol, signs off on the dose, stays in the building during infusion.

Meets you · 09:15 · suite
Compounding pharmacist in a clean-room
05 · Pharmacy

Compounding pharmacist

GMP · COFEPRIS · clean-room

Reconstitutes your dose the morning of. Stops by to confirm the lot, the count, and the release certificate with you.

Meets you · 09:45 · brief
Specialist consultant, orthopedist or neurologist
06 · Specialist

Orthopedist or neurologist

Only for joint & neurologic programs

If your plan includes an image-guided joint injection or a neuro evaluation, a second physician is in the room for that portion.

Meets you · by track
Follow-up team nurse on the phone
07 · After care

Follow-up team lead

Calls at 48h · 7d · 30d · 90d

You don't chase us for results. The same person reviews your labs at 30 and 90 days and sends a written summary to you and your physician.

First call · 48h post-discharge
Hospital emergency team, nurses and physicians together
00 · On reserve

Hospital emergency team

ICU Level 2 · ER Level 1

You will almost certainly not meet them. They are the reason we operate inside a hospital and not a standalone clinic.

On reserve · 24 / 7
§ 003.6 · Everything else, in one ledger

The things you'd Google
at 11pm the night before.

All of it at once, so you don't have to. If your question isn't here, ask your coordinator, they keep a living list and will add it.

Money & payment
What currency do I pay in? USD, wire, ACH, or major card. Invoiced and receipted in English.
When is payment due? 50 % at booking · 50 % 7 days prior. Refundable up to 14 days out, partial inside that.
Are there cash charges on the day? None. Bring a card for incidentals; you won't need one at the hospital.
HSA / FSA eligibility Case-by-case. We provide itemized superbills; consult your plan administrator.
Travel & stay
Do I need to stay overnight in Mexico? No. Most patients stay in San Diego and return the same day as treatment.
Is a companion required? Not required, always welcomed. For sedated procedures, a companion is required for discharge.
Can I fly out the same evening? Yes, after 19:00 from SAN. We don't recommend driving back to LA same-day.
Pet / service animal policy Service animals welcomed in the suite. Pets cannot cross with you.
Medical & clinical
What do I eat / drink that morning? Normal hydration. Light breakfast unless a sedated procedure, the coordinator confirms 48 h prior.
Which medications do I hold? Typically NSAIDs for 7 days prior, blood thinners per your cardiologist. Individualized list sent with your itinerary.
What labs are required beforehand? CBC · CMP · HIV / HCV / HBV within 30 d. We can draw at a Quest / LabCorp near you.
Will I be sedated? IV days: no. Joint & spinal days: local ± light conscious sedation, patient preference.
Privacy & records
Will my U.S. physician get records? Yes, on your signed release. Structured chart note + labs + imaging within 5 business days.
Is my data shared with anyone else? No third parties, ever. Aggregate outcomes data is de-identified and only with opt-in.
Insurance billing We do not bill insurers directly. Itemized superbills provided for out-of-network submission.
§ 003.7 · Real questions

What patients actually ask, first.

Composed from the first three questions every patient asks on an intake call. If your real question is "should I even be doing this," start on Proof or the evaluation page.

Q · 01 Is Tijuana actually safe?

The Zona Urbana Río corridor, where Hospital Angeles sits, is a business and medical district that looks and feels like San Diego's Mission Valley. Your day is a lobby, a lane, a private hospital floor, and a lane home. You are never on your own on the street, and you never leave the hospital grounds between arrival and discharge.

We've been doing this every week since 2009. If we thought any part of the corridor was unsafe, we'd say so, we cancel treatment days when border security advisories shift, and refund in full.

Q · 02 What if something goes wrong mid-infusion?

There is a crash cart on our floor, a code team two floors down, a Level-III ICU on Level 2, and an attending anesthesiologist in the building 24/7. Reactions to allogeneic MSC infusions are rare (we publish our rate on the Proof page); the vast majority are minor and resolve with a pause and an antihistamine. Anything beyond that is handled by the hospital in which you are standing, not by an ambulance to an unfamiliar ER.

Q · 03 How is this different from a U.S. stem-cell clinic?

Two major differences. First: dose. Most MSC products that are legal to market in the U.S. are in vials of a few hundred thousand cells; they are largely unproven at that concentration. Our typical allogeneic infusion delivers 100 – 300 million cells, which is the concentration at which every major published trial has been run. Second: regulation. We operate under COFEPRIS. Mexico's federal regulator, which has a specific, licensed pathway for cultured allogeneic MSC therapy. The U.S. does not have an approved pathway for most of what we do; so "it's easier" in the U.S. is not the same as "it's legal."

Q · 04 Will my primary care doctor freak out?

Some do, some don't, it depends largely on whether they've seen a peer-reviewed MSC trial recently. We publish our protocols, our lot release data, our adverse event rate, and we will talk to your physician directly on request. Most PCPs who've reviewed our materials end up fine with it. A minority remain unconvinced; that's their right, and we respect it.

Q · 05 Can I bring my spouse / kid / translator?

One companion is welcomed in the suite for the full day; additional family can wait in the hospital's private guest lounge on Level 4. Translators are unnecessary, all clinical staff on our floor are bilingual, but we've had patients bring one anyway for their own comfort, which is fine.

Q · 06 What if I cancel the week of?

Full refund until 14 days before your treatment date. Inside 14 days, the second deposit becomes a credit toward a rescheduled date within the following 12 months. Inside 48 hours, it converts to a 50 % credit, because by that point the dose is on order and the lab is slotted. We don't charge cancellation fees for medical-necessity changes.

§ 003.8 · Start here

Ready to plan
the actual day?

Book a consult, we'll walk through the travel details for your specific situation, confirm fit with one of our physicians, and only then send an itinerary. No day is scheduled until the clinical plan is written.

Book a consult →
Not medical advice. Individual results vary. All patients undergo screening before treatment is recommended. Autologous and allogeneic cell therapies at Celva Bio are regulated by COFEPRIS in Mexico.