Healthcare Provider Details

I. General information

NPI: 1730095464
Provider Name (Legal Business Name): HAYLEY MARTINS MOTA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1820 MARRON RD STE 102
CARLSBAD CA
92008-1177
US

IV. Provider business mailing address

5555 GARDEN GROVE BLVD STE 200
WESTMINSTER CA
92683-8234
US

V. Phone/Fax

Practice location:
  • Phone: 760-434-0125
  • Fax:
Mailing address:
  • Phone: 714-804-5725
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License NumberAU4187
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: