Healthcare Provider Details

I. General information

NPI: 1659832087
Provider Name (Legal Business Name): ROBERT MICHAEL ZIMBROFF MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2019
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8000 MARINA BLVD STE 800
BRISBANE CA
94005-1875
US

IV. Provider business mailing address

8000 MARINA BLVD STE 800
BRISBANE CA
94005-1875
US

V. Phone/Fax

Practice location:
  • Phone: 415-514-3577
  • Fax: 415-514-0702
Mailing address:
  • Phone: 415-514-3577
  • Fax: 415-514-0702

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License NumberA178787
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: