Healthcare Provider Details

I. General information

NPI: 1225996747
Provider Name (Legal Business Name): GERALD ANTHONY AGCAOILI JOCSON FNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: GERALD JOCSON FNP-BC

II. Dates (important events)

Enumeration Date: 01/13/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3800 KILROY AIRPORT WAY STE 100
LONG BEACH CA
90806-6818
US

IV. Provider business mailing address

3800 KILROY AIRPORT WAY STE 100
LONG BEACH CA
90806-6818
US

V. Phone/Fax

Practice location:
  • Phone: 562-717-5435
  • Fax:
Mailing address:
  • Phone: 562-717-5435
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number2025094946
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: