7 items, in order: articles of organization (llc) or a fictitious business name, employer identification number (ein), seller’s permit, city business license or business tax registration, certificate of occupancy and building permits for the build-out and physician ownership and supervision, and 1 more.
How to open, California
How to open a med spa in California
7 licenses, permits and registrations, in the order to get them, each with the agency, the fee and the official page.
7 licenses, permits and registrations, in the order to get them
Every row checked against its agency’s page; the latest on Oct 17, 2026.
Set up the business
Articles of organization (LLC) or a fictitious business name
An LLC keeps your personal assets apart from the business and is what landlords and lenders expect on a lease, but California charges $800 a year for it from the first year. Anyone trading under a name other than their own legal name or the entity’s registered name files the fictitious business name in the county where the business sits.
Checked Oct 17, 2026
- Agency
- California Secretary of State (bizfile); county clerk for fictitious business names
- Official page
- Members
- Fee
- Members
- Renewal
- Members
Employer Identification Number (EIN)
Needed to hire, to open a business bank account and for the state registrations. Issued at once online.
Checked Oct 17, 2026
- Agency
- Internal Revenue Service
- Official page
- Members
- Fee
- Members
- Renewal
- Members
Register for tax
Seller’s permit
Required before the first taxable sale, including food and drink served on the premises. Register online and the permit can issue the same day. The combined sales tax rate depends on the city and district, so check the address in the CDTFA rate lookup.
Checked Oct 17, 2026
- Agency
- California Department of Tax and Fee Administration
- Official page
- Members
- Fee
- Members
- Renewal
- Members
City business license or business tax registration
Nearly every California city requires a license or tax certificate for a business at an address inside it, and many check zoning for the address before issuing one. Apply before opening; Los Angeles issues a temporary certificate at once and mails the permanent one.
Checked Oct 17, 2026
- Agency
- Your city; in Los Angeles the Office of Finance (Business Tax Registration Certificate)
- Official page
- Members
- Fee
- Members
- Renewal
- Members
Approve the space
Certificate of occupancy and building permits for the build-out
Confirm the zoning allows your use at the address before signing, then plan for the occupancy approval: a change of use (a store becoming a restaurant, a warehouse becoming a studio) means plans, build-out to code, accessibility upgrades and inspections. Ask the building department what the last approved use of the space was.
Checked Oct 17, 2026
- Agency
- Your city or county building department (in Los Angeles, the Department of Building and Safety)
- Official page
- Members
- Fee
- Members
- Renewal
- Members
Get the permits for your kind of business
Physician ownership and supervision
California bars lay ownership of a medical practice: a med spa offering injectables, lasers or medical peels is a physician-owned practice or a professional medical corporation with a physician as majority shareholder. Nurses and physician assistants work under a physician’s supervision; estheticians and medical assistants may not inject or fire medical lasers.
Checked Oct 17, 2026
- Agency
- Medical Board of California
- Official page
- Members
- Fee
- Members
- Renewal
- Members
Before the first hire
Employer payroll tax account
Register within 15 days of paying more than $100 in wages in a calendar quarter; the account covers unemployment insurance, employment training tax, state disability insurance and personal income tax withholding. Report each new hire within 20 days.
Checked Oct 17, 2026
- Agency
- Employment Development Department (e-Services for Business)
- Official page
- Members
- Fee
- Members
- Renewal
- Members
How they fare in California
- Closed in 2023, health care and social assistance
- 7.8%
- Opened in 2023
- 11.6%
Then pick the place
- The free location checkWho lives and works around an address, the med spas already there and the traffic on its road, from public records.
- The full reportWhether the rules allow a med spa at that address, the rent it supports, what has opened and closed nearby, and the questions to settle before signing.
Have an address in mind?
Check the address freeNo account. The med spa check reads public records at the address itself.
Sources and dates
Secretary of State business entities pages; Franchise Tax Board LLC page; Los Angeles County Registrar-Recorder fictitious business name pages; IRS EIN page; CDTFA seller’s permit FAQ and online registration page; City of Los Angeles Office of Finance business tax registration pages; Los Angeles Department of Building and Safety; Medical Board of California medical spas page and cosmetic treatments FAQ; EDD register as an employer page; U.S. Census Bureau Business Dynamics Statistics. Fees are as published by each agency on the date checked; cities add their own.