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Writer's pictureThe Excellence Team

Debunking Myths of the Medical Spa Industry

The medical spa industry combines medical treatments with a traditional spa's relaxing ambiance, offering immense growth opportunities. However, owning and operating a medical spa in California involves navigating complex legal requirements and operational nuances. Misconceptions about licensing, ownership, and services can create challenges for potential owners and investors. This guide clarifies these aspects to help you make informed decisions.


California’s strict ownership laws limit who can own a medical spa. Only licensed physicians, medical corporations, or professional medical entities can own and operate these facilities. The Corporate Practice of Medicine (CPM) doctrine prohibits non-physicians from owning or sharing profits with physicians, making compliance essential for lawful operation.


Investment opportunities still exist for those without medical credentials. Non-physicians can purchase a medical spa but can only perform or oversee medical treatments if they are licensed healthcare professionals. Licensed staff, including physicians, nurse practitioners (NPs), and physician assistants (PAs), must handle all medical procedures to ensure compliance with state laws.


Medical spas in California offer a wide array of cosmetic medical services, from Botox injections and dermal fillers to laser treatments and chemical peels. These services require supervision or administration by licensed professionals to meet safety and legal standards. Additionally, estheticians can provide non-medical treatments like facials and waxing, expanding the service offerings.



Staffing requirements are another key consideration. A licensed physician must serve as the medical director, while medical providers such as NPs, PAs, and registered nurses (RNs) can perform treatments under physician supervision. Licensed estheticians add value by offering non-medical services, ensuring a comprehensive and compliant service menu.


Zoning laws and location requirements are critical in establishing a medical spa. These businesses must operate in areas zoned for medical or commercial use and comply with health and safety regulations, including sanitation and waste disposal standards. These measures protect both patients and providers while ensuring operational legitimacy.


Rebranding a medical spa is an option for new owners, but it must be approached with care. California law mandates that names and marketing materials accurately reflect the nature of the business. Avoiding misleading terms or implications about non-physicians providing medical services is crucial for transparency and legal compliance.

Advertising practices in the medical spa industry are tightly regulated. All promotional materials must be truthful and evidence-based, with practitioners clearly identified by their credentials. Misleading claims can result in penalties, making honest communication a cornerstone of successful marketing.



Transferring ownership of a medical spa involves several steps, including purchasing the assets or stock of the physician-owned entity, drafting new agreements, and notifying patients, vendors, and regulatory authorities. Seeking legal expertise is essential to navigate this complex process effectively.


Telehealth services are another avenue for medical spas, particularly for pre-treatment evaluations or follow-ups. These services must comply with California’s telemedicine laws, including obtaining patient consent and maintaining proper documentation to uphold safety and compliance.


Given the intricate legal and operational requirements, engaging a certified expert business broker is invaluable when buying a medical spa. These professionals offer guidance on regulatory compliance, financial structuring, and smooth ownership transitions, reducing risks and ensuring success.


The medical spa industry holds great potential, but success relies on understanding the rules and seeking professional guidance. With the right approach, it’s possible to thrive in this dynamic field. If you don’t know how to start your journey as a business owner, we can help you in our workshops “Grow Your Business Through Acquisitions”.





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