Organization
THE PALO ALTO DIET, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLARENCE MIAO MD (OWNER)
(650) 704-9068
Entity
Organization
Contact information
Practice address
3195 BEAUMONT CENTRE CIR STE 120, LEXINGTON, KY 40513-2009
(650) 704-9068
Mailing address
1427 BYRON ST, PALO ALTO, CA 94301-3309
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
09/09/2024
Last updated
09/09/2024
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