Individual
CHELSEA GRIMES FIDAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2200 PACIFIC COAST HWY STE 215, HERMOSA BEACH, CA 90254-2701
(424) 332-1574
(424) 296-2160
Mailing address
2200 PACIFIC COAST HWY STE 215, HERMOSA BEACH, CA 90254-2701
(424) 332-1574
(424) 296-2160
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
A171819
CA
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
A171819
CA
207NS0135X
Procedural Dermatology Physician
A171819
CA
Other
Enumeration date
03/30/2016
Last updated
08/26/2025
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