# PACIFIC COAST REHABILITATION AND PAIN MANAGEMENT

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

## Provider details

- **NPI number:** 1134095623
- **Authorized official:** RISHI SHAH MD (CEO/OWNER)
- **Authorized official phone:** (630) 418-1799

## Contact information

- **Practice address:** 7510 CLAIREMONT MESA BLVD, SAN DIEGO, CA 92111-1539
- **Practice address phone:** (310) 596-5994
- **Mailing address:** 1822 E ROUTE 66 STE A, GLENDORA, CA 91740-3800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | — |
| 2081H0002X | Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081H0002X | Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/13/2025
- **Last updated:** 06/16/2026