# PACIFIC COAST REHABILITATION

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

## Provider details

- **NPI number:** 1336714294
- **Authorized official:** RISHI SHAH MD (PRESIDENT)
- **Authorized official phone:** (422) 776-1004

## Contact information

- **Practice address:** 2181 CITRACADO PARKWAY, ESCONDIDO, CA 92563-2415
- **Practice address phone:** (422) 776-1004
- **Mailing address:** 1822 E ROUTE 66 STE A, GLENDORA, CA 91740-3800
- **Mailing address phone:** (760) 790-7220
- **Mailing address fax:** (760) 227-7903

## Taxonomy

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

## Other

- **Enumeration date:** 05/24/2021
- **Last updated:** 06/16/2026
