Gazos Creek was responsible for design and budget for a large regional telemedicine project. This design included connections to multiple hospitals, public health offices and remote clinics throughout California. The high bandwidth applications required innovative design utilizing dense wave division multiplexing (DWDM) topologies between primary locations. This project required a complete understanding of physical, network and transport mechanisms to ensure secured video transmission of patient data. Several telecommunications rooms, data centers and video editing facilities were designed as part of the project scope.