Does Pomerado Road here have a 45 mph speed limit? It definitely does as it goes east, but not sure where that starts.

Perlman Ambulatory Care Center address is 9350 Campus Point Drive, La Jolla, CA 92037.

"Wrong location"
The place has gone or never existed. A user of Organic Maps application has reported that the POI was visible on the map (see snapshot date below), but was not found on the ground.
OSM snapshot date: 2025-02-27T10:33:49Z
POI name: Akshar Cash And Carry
POI types: building cuisine-indian shop-supermarket
#organicmaps android

From this intersection SW to the traffic circle at the hospital is Campus Point Drive, not Medical Center Drive. The main hospital address is 9300 Campus Point.