What to know in California
Start with these state-specific findings, then use the checklist below to review the rest of your practice. The linked authorities explain the conditions and exceptions behind each point.
Medical services require a clinical ownership review
The Medical Board describes medical spas offering medical procedures as medical practices subject to physician-ownership requirements. Establish the lawful professional entity and clinical control before using a management-company or medical-director agreement.
Source: Medical Board of California: Medical Spas — What You Need to KnowA cosmetology license does not authorize injections or lasers
The Board states that cosmetologists cannot inject skin, use lasers or perform medical-level peels and dermabrasion. Its guidance identifies qualified medical personnel and meaningful supervision, rather than a supervisor listed only on paper.
Source: Medical Board of California: Medical Spas — What You Need to KnowYour next steps
- Have California healthcare counsel review the ownership percentages, professional entity and any management services agreement.
- Separate superficial esthetics from medical procedures on the service menu and credential each clinical role.
Questions to resolve before opening
- Does the proposed ownership and management structure comply with California professional-practice rules?
- Which current physician, PA or nursing authority applies to each procedure, including any independently certified NP practice?
Bring your actual ownership chart, service menu, devices and staff credentials to the relevant board or healthcare counsel. The same answer may not apply to a different procedure or business model.