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
—
—
Other
Enumeration date
10/20/2025
Last updated
02/25/2026
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