Healthcare Provider Details

I. General information

NPI: 1124880034
Provider Name (Legal Business Name): DAVIS VU
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/25/2024
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1302 N 4TH ST
SAN JOSE CA
95112-4713
US

IV. Provider business mailing address

2140 TURNHOUSE LN
SAN JOSE CA
95121-1377
US

V. Phone/Fax

Practice location:
  • Phone: 408-914-5887
  • Fax:
Mailing address:
  • Phone: 408-914-5887
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: