MEDICARE: LIGHT & JOY ACUPUNCTURE INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist

General Provider Information

NPI Number	:	1720329550
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIGHT & JOY ACUPUNCTURE INC.

Provider Business Mailing Address
First Line	:	PO BOX 32442
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95152-2442
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3880 S BASCOM AVE STE 113
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95124-2600
Country	:	US
Telephone Number	:	408-357-0295
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	YOEVITA WRENSCH
Credential	:	L.AC.
Telephone Number	:	408-384-9794

Provider Enumeration Date	:	03/04/2013
Last Update Date	:	10/09/2023

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Directions to “LIGHT & JOY ACUPUNCTURE INC. ” Practice Location

Language	Start Address	Practice Location

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