Healthcare Provider Details

I. General information

NPI: 1902770845
Provider Name (Legal Business Name): SESI SIGNATURE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2025
Last Update Date: 10/15/2025
Certification Date: 10/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2082 MICHELSON DR STE 100
IRVINE CA
92612-1212
US

IV. Provider business mailing address

2082 MICHELSON DR STE 100
IRVINE CA
92612-1212
US

V. Phone/Fax

Practice location:
  • Phone: 133-657-0712
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LAUREN MICHELLE SESI
Title or Position: OWNER
Credential: MD
Phone: 133-657-0712