MEDICARE: GILLIAN ERIN NUNEZ CARLOS MS, CGC

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	170300000X	Genetic Counselor (M.S.)	GC001942	CA

General Provider Information

NPI Number	:	1396678140
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GILLIAN ERIN NUNEZ CARLOS MS, CGC

Provider Business Mailing Address
First Line	:	3101 SAWTELLE BLVD APT 309
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90066-1417
Country	:	US
Telephone Number	:	925-640-0226
Fax Number	:	364-407-9394

Provider Business Practice Location Address
First Line	:	3101 SAWTELLE BLVD APT 309
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90066-1417
Country	:	US
Telephone Number	:	925-640-0226
Fax Number	:	364-407-9394

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/03/2026
Last Update Date	:	06/03/2026

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