Provider Demographics
NPI:1609754993
Name:UPP, SARAH BELLE (MS)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:BELLE
Last Name:UPP
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24725 SANTA CLARA AVE APT 10
Mailing Address - Street 2:
Mailing Address - City:DANA POINT
Mailing Address - State:CA
Mailing Address - Zip Code:92629-3029
Mailing Address - Country:US
Mailing Address - Phone:949-899-0003
Mailing Address - Fax:
Practice Address - Street 1:3755 BUTLER AVE APT 6
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90066-2976
Practice Address - Country:US
Practice Address - Phone:949-899-0003
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-25
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS