Provider Demographics
NPI:1255510426
Name:LIPTON, SARAH SHAYNA MILLER (MD)
Entity type:Individual
Prefix:DR
First Name:SARAH
Middle Name:SHAYNA MILLER
Last Name:LIPTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SARAH
Other - Middle Name:SHAYNA
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:9190 W OLYMPIC BLVD
Mailing Address - Street 2:#401
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90212-3540
Mailing Address - Country:US
Mailing Address - Phone:310-574-0400
Mailing Address - Fax:310-574-0401
Practice Address - Street 1:9190 W OLYMPIC BLVD
Practice Address - Street 2:300
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90212-3540
Practice Address - Country:US
Practice Address - Phone:310-574-0400
Practice Address - Fax:310-574-0401
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-24
Last Update Date:2021-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA102597208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation