# THE PALO ALTO DIET, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700612611
- **Authorized official:** CLARENCE MIAO MD (OWNER)
- **Authorized official phone:** (650) 704-9068

## Contact information

- **Practice address:** 3195 BEAUMONT CENTRE CIR STE 120, LEXINGTON, KY 40513-2009
- **Practice address phone:** (650) 704-9068
- **Mailing address:** 1427 BYRON ST, PALO ALTO, CA 94301-3309

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/09/2024
- **Last updated:** 09/09/2024