Octlc, Inc.

Primary specialty

Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X

License

306004787 Issued in CA

Legal business name

OCTLC, INC.

Practice address

125 S Chaparral CT Ste 200
Anaheim, CA 92808-2263

Phone

(818) 636-2938

Fax

(833) 930-2303

NPI assigned

Mar 25, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Sayeh Seyedfathi

Title

Ceo

Phone

(818) 636-2938

Specialties & licenses 1

Addresses

Other names 1

• Sustain Recovery Doing business as

Tax ID family

Octlc Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Octlc, Inc

  • Children's Substance Abuse Rehabilitation Facility
  • Anaheim, CA
  • NPI 1003280348
  NPD tax ID
• Octlc, Inc.

  • Children's Substance Abuse Rehabilitation Facility
  • Brea, CA
  • NPI 1265396311
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1427241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719187200000",
    "number": "1710371950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3943 IRVINE BLVD # 5",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926022400",
            "telephone_number": "818-636-2938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 S CHAPARRAL CT STE 200",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928082263",
            "telephone_number": "818-636-2938",
            "fax_number": "833-930-2303"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23272 Mill Creek Dr Ste 100B",
            "address_purpose": "LOCATION",
            "city": "Laguna Hills",
            "state": "CA",
            "postal_code": "926531642",
            "country_code": "US",
            "telephone_number": "714-310-8177",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7888 E Autry Dr",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928081306",
            "country_code": "US",
            "telephone_number": "818-636-2938",
            "fax_number": "833-930-2303",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7898 E Autry Dr",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928081306",
            "country_code": "US",
            "telephone_number": "818-636-2938",
            "fax_number": "833-930-2303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OCTLC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-25",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A",
        "authorized_official_last_name": "SEYEDFATHI",
        "authorized_official_first_name": "SAYEH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-636-2938",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "CA",
            "license": "306004787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sustain Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Ocoboc, PPS CREDENTIAL
• Hobie Oconnor, BOCPO
• Sarah Oconnor
• Tonya D. Octave, LCSW
• Octlc, Inc
• Hiro Oda
• Linda Odeh
• Hope Odikagbo
• Cheuw Oey, D.O.
• Roberta Offutt

• Children's Substance Abuse Rehabilitation Facility in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Children's Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.