No, you do not have to be in Los Angeles to work with me. I can upload website designs to any server that you have access to from my location, no matter where my clients are in the world.
If we are working on print design or graphic design, I can send you digital, print-ready files that you can take to your own printer, or let me produce the materials, and I will ship them directly to you. I have worked with clients in San Diego, San Francisco, Portland, Chicago, and Arizona, just to name a few. In this age of digital communication, geographic distance is not an issue.