Organization
JARCO ANESTHESIA SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JECONIAS DEMIAR CRNA (PRESIDENT)
(888) 926-3600
Entity
Organization
Contact information
Practice address
11487 VIA CAPRI, LOMA LINDA, CA 92354-3853
(909) 796-8354
(909) 796-8355
Mailing address
PO BOX 2175, UPLAND, CA 91785-2175
(909) 608-2035
(909) 608-1081
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
160039
CA
Other
Enumeration date
08/24/2006
Last updated
08/22/2020
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