Provider Demographics
NPI:1801257852
Name:GOJI ACUPUNCTURE & HERBS
Entity type:Organization
Organization Name:GOJI ACUPUNCTURE & HERBS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:MS
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:TSUI
Authorized Official - Suffix:
Authorized Official - Credentials:L AC
Authorized Official - Phone:209-597-3886
Mailing Address - Street 1:2181 N TRACY BLVD
Mailing Address - Street 2:STE. #200
Mailing Address - City:TRACY
Mailing Address - State:CA
Mailing Address - Zip Code:95376-2424
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1770 N TRACY BLVD
Practice Address - Street 2:STE. A
Practice Address - City:TRACY
Practice Address - State:CA
Practice Address - Zip Code:95376-2428
Practice Address - Country:US
Practice Address - Phone:209-597-3886
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-17
Last Update Date:2022-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty