Riverside County and San Bernardino County to the north form this metro area. Like many such metro areas in the Southwest, it extends far into uninhabited desert areas, in this case east through the Mojave Desert to the Nevada/Arizona border. Larger than nine U.S. states, it is often referred to as the Inland Empire.
I agree with tchrist that the word doctor in doctor appointment is a noun (attributive noun I believe), although the definition of an attributive noun is a noun used as an adjective, so maybe it's just semantics at some point.
I have an appointment with ***. Recently, I heard that the above sentence should be used only when you're refering to formal professional business meetings such as with doctors, lawyers, or other job-related people, It's true tht it is more often used in these situations. It's a somewhat formal word.