Nice! I already think you're in great shape.
I personally think that you should do at least 2 Anesthesiology AI's on the west coast especially if that's your move. Possibly 3 or 4 if you are up for it. I really only suggest that because you are a DO. I view that as two potential automatic II's and it gives you some (maybe more of a ?) "tie" to the west coast. The bias is definitely not as strong compared to some other specialities, but it's still there in imo, so I would just do a little extra leg work. A letter from that area would probably look good too. You're ability to play well with others is probably more important that your ability to put in an IV - although it helps
So, don't worry about that. Plus, no one is that great at the start. Read, work (at least look like) you're working hard, ask thoughtful questions, and show face. I think that will get you far.