Healthcare Provider Details

I. General information

NPI: 1659194116
Provider Name (Legal Business Name): EPIC BRAIN CENTERS - LUU PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/04/2024
Last Update Date: 11/06/2025
Certification Date: 11/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2017 PINTO LN
LAS VEGAS NV
89106-4018
US

IV. Provider business mailing address

2017 PINTO LN
LAS VEGAS NV
89106-4018
US

V. Phone/Fax

Practice location:
  • Phone: 702-333-2620
  • Fax:
Mailing address:
  • Phone: 775-227-0455
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0301X
TaxonomyBrain Injury Medicine (Psychiatry & Neurology) Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code202D00000X
TaxonomyIntegrative Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: VU LUU
Title or Position: MANAGER / OWNER
Credential: MD
Phone: 702-292-3931