Provider Demographics
NPI:1568579803
Name:JARCO ANESTHESIA SERVICES, INC
Entity Type:Organization
Organization Name:JARCO ANESTHESIA SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JECONIAS
Authorized Official - Middle Name:
Authorized Official - Last Name:DEMIAR
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:888-926-3600
Mailing Address - Street 1:PO BOX 2175
Mailing Address - Street 2:
Mailing Address - City:UPLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91785-2175
Mailing Address - Country:US
Mailing Address - Phone:909-608-2035
Mailing Address - Fax:909-608-1081
Practice Address - Street 1:11487 VIA CAPRI
Practice Address - Street 2:
Practice Address - City:LOMA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92354-3853
Practice Address - Country:US
Practice Address - Phone:909-796-8354
Practice Address - Fax:909-796-8355
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA160039174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty