Individual provider · Type 1 NPI

Sofia Iacono, NP

Nurse Practitioner · Hawthorne, CA

NPI number 1639095243 Active

Practice location

12923 Inglewood Ave
Hawthorne, CA 90250-5573

Mailing address

17575 Yukon Ave
Torrance, CA 90504-3448

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X95037585 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1639095243

Sofia Iacono, NP's National Provider Identifier is 1639095243, issued on Jun 26, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Hawthorne, CA. The record was last updated on Jun 26, 2026.