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Organization
COASTLINE SURGERY CENTER OF CALIFORNIA PC
Active
Organization
COASTLINE SURGERY CENTER OF CALIFORNIA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHELSEA FIDAI MD (OWNER)
(424) 332-1574
Entity
Organization
Contact information
Practice address
2200 PACIFIC COAST HWY STE 215, HERMOSA BEACH, CA 90254-2701
(424) 332-1574
Mailing address
2200 PACIFIC COAST HWY STE 215, HERMOSA BEACH, CA 90254-2701
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
10/20/2025
Last updated
02/25/2026
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