MEDICARE: AESCALAPIUS MEDICI, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	2085R0202X	Diagnostic Radiology Physician
2	207U00000X	Nuclear Medicine Physician
3	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1316521503
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AESCALAPIUS MEDICI, INC.

Provider Business Mailing Address
First Line	:	115 N EL CAMINO REAL STE A
Second Line	:
City	:	OCEANSIDE
State	:	CA
Zip	:	92058-1844
Country	:	US
Telephone Number	:	442-217-7967
Fax Number	:

Provider Business Practice Location Address
First Line	:	115 N EL CAMINO REAL STE A
Second Line	:
City	:	OCEANSIDE
State	:	CA
Zip	:	92058-1844
Country	:	US
Telephone Number	:	442-217-7967
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	PAUL LIZOTTE
Credential	:	DO
Telephone Number	:	442-217-7967

Provider Enumeration Date	:	05/12/2021
Last Update Date	:	06/11/2026

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Directions to “AESCALAPIUS MEDICI, INC. ” Practice Location

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