Provider Demographics
NPI:1295725281
Name:DRUCKER, ALAN J (MD)
Entity type:Individual
Prefix:DR
First Name:ALAN
Middle Name:J
Last Name:DRUCKER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2150 E TAHQUITZ CANYON WAY STE 6
Mailing Address - Street 2:
Mailing Address - City:PALM SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92262-6818
Mailing Address - Country:US
Mailing Address - Phone:760-322-3705
Mailing Address - Fax:888-392-6660
Practice Address - Street 1:2150 E TAHQUITZ CANYON WAY STE 6
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92262-6818
Practice Address - Country:US
Practice Address - Phone:760-322-3705
Practice Address - Fax:888-392-6660
Is Sole Proprietor?:No
Enumeration Date:2005-10-21
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG0672282084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G672280OtherBLUE SHIELD
CA00G672280OtherBLUE CROSS
260018554OtherMEDICARE RAILROAD
CA00G672280Medicaid
CA00G672280Medicaid