Healthcare Provider Details

I. General information

NPI: 1073544474
Provider Name (Legal Business Name): ROBERT JAY PLOTKE RPT, DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/05/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23233 SATICOY ST STE 106
WEST HILLS CA
91304-5360
US

IV. Provider business mailing address

6665 WHITEWOOD ST
SIMI VALLEY CA
93063-3948
US

V. Phone/Fax

Practice location:
  • Phone: 818-887-9111
  • Fax: 818-887-7494
Mailing address:
  • Phone: 805-416-6243
  • Fax: 818-887-7494

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC 14472
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT 8326
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: