| Doctor Name: | MR. GREGORY S BEATON |
| NPI Number: | 1184790685 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | P.T. |
| License Number: | PT14158 |
| Business Practice Address: | 24955 Pacific Coast Hwy C-102 Malibu, CA - 902654700 |
| Business Phone Number: | 3104569332 |
| Business Fax Number: | 3104565868 |
| Mailing Address: | 24955 Pacific Coast Hwy, C-102 MALIBU |
| State: | CA |
| Postal Code: | 902654700 |
| Phone Number: | 3104569332 |
| Fax Number: | 3104565868 |
| NPI Enumeration Date: | 11/27/2006 |
| NPI Last Update Date: | 10/21/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | PT14158 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |