You want to be with in 15 minutes of a large hospital to accomodate medical professionals.  

RE is well outside of mainstream financial advising courses, unfortunately (other than "let's put money into a REIT").  

Commercial I see as much more specialized these days....agents/brokers on buy side and sell side and more seem to work exclusively more on one side than the other....I can think of 20-25 specialty niches on commercial side....hotels, industrial, multifamily, office, medical office, strip centers, NNN, warehouses, and on and on.   

Some of the top employers to the whole Sacramento area are in Elk Grove, supplying residents with jobs particularly in the medical field.

He claims he's selling for his friend who has medical issues.

Some other pros would be weather, globally sought after, growing infrastructure across the state to accomodate high speed rail, space industry, we have several major airports, growing tech/medical industries as well as the ever growing theme park monsters that help to bring in about 70 million people a year here, we stay pretty purple with politics and very alternative lifestyle friendly, schools overall aren't great, but we do have some very good ones including prep schools/acadamy's. landlord friendly and so much more too!

Yes, we are investing specifically in NNN medical office and retail.

@Thomas Yourkiewicz - There is a great deal of information on BP about Toledo to help you understand its national appeal vs other cities, price, cash flow, and ease of entry are a few.My biggest lesson learned in Real Estate in general is - whatever your niche, you will do just fine provided you specialize, create an offering that meets a need in the market, and stay the course when you have hurdles.This holds true if you specialize offering housing to professionals who need high-end temporary housing while assigned to long term projects...medical facility rentals with nursing staff provided...and for every aspect of servicing the investing community (hard money, note buying, appraisals, etc) which gets you out of the landlord role altogether.One sure way to fail is to constantly shift your focus and jump between cities, neighborhoods, or investments. 

The primary occupation in Fresno is healthcare, with the largest healthcare employer being community regional medical centers followed by Saint Agnes hospital.  

For the average 80k BP'er to be really happen in 10-12 years, you're going to want 7-10 paid off houses + another source of income(equivalent to 2-3 houses net cash flow) eliminate all debt, and have a low cost of living.I think everyone just needs to pump the brakes on the quitting the W2 though, cause you're not going to find a more helpful resource for retirement benefits + medical benefits.