Women-owned since 2012 and grown from a one-room Kensington start into a 4,000-plus square-foot buildout inside the Balboa Park Plaza at 3033 Fifth Ave #105 in 92103 Hillcrest, B Medical Spa and Wellness Center operates under a physician double board-certified in primary care and obesity medicine. That dual certification anchors a supervised weight-loss program built on GLP-1 semaglutide and tirzepatide titration, with chart infrastructure set up for clean handoffs to outside medical dermatology practices like MedDerm Dermatology when skin findings need biopsy. Aesthetic services run parallel to the wellness side with Botox, dermal fillers, microneedling, DiamondGlow, HydraFacial, IV vitamin infusions, and laser hair removal all booked through a single intake. The weight-loss track has a formal exit protocol: when a patient plateaus on GLP-1 dosing or crosses the BMI threshold for surgical candidacy, the chart transfers into bariatric surgical programs including Scripps Clinic Bariatric and General Surgery Fourth Avenue. The most complex cases combine bioidentical hormone replacement therapy, supervised semaglutide titration, IV micronutrient infusions, and staged Morpheus8 skin tightening into a single twelve-month metabolic-and-aesthetic reset plan.