Provider Demographics
NPI:1437235009
Name:DARROW, BENJAMIN ZIMBEROFF (DC)
Entity Type:Individual
Prefix:DR
First Name:BENJAMIN
Middle Name:ZIMBEROFF
Last Name:DARROW
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1618 SULLIVAN AVE
Mailing Address - Street 2:SUITE 208
Mailing Address - City:DALY CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94015-1967
Mailing Address - Country:US
Mailing Address - Phone:650-994-4444
Mailing Address - Fax:
Practice Address - Street 1:1618 SULLIVAN AVE
Practice Address - Street 2:SUITE 208
Practice Address - City:DALY CITY
Practice Address - State:CA
Practice Address - Zip Code:94015-1967
Practice Address - Country:US
Practice Address - Phone:650-994-4444
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC 28884111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor