# COASTLINE SURGERY CENTER OF CALIFORNIA PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932076635
- **Authorized official:** DR. CHELSEA FIDAI MD (OWNER)
- **Authorized official phone:** (424) 332-1574

## Contact information

- **Practice address:** 2200 PACIFIC COAST HWY STE 215, HERMOSA BEACH, CA 90254-2701
- **Practice address phone:** (424) 332-1574
- **Mailing address:** 2200 PACIFIC COAST HWY STE 215, HERMOSA BEACH, CA 90254-2701

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207N00000X | Dermatology Physician | — | — | Yes |
| 207ND0101X | MOHS-Micrographic Surgery Physician | — | — | — |
| 207X00000X | Orthopaedic Surgery Physician | — | — | — |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/20/2025
- **Last updated:** 02/25/2026