Healthcare Provider Details

I. General information

NPI: 1164335444
Provider Name (Legal Business Name): GAWIS MOBILE GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14443 PARK AVE STE B-2
VICTORVILLE CA
92392-2388
US

IV. Provider business mailing address

10299 TOPAZ AVE
HESPERIA CA
92345-4692
US

V. Phone/Fax

Practice location:
  • Phone: 442-316-0313
  • Fax:
Mailing address:
  • Phone: 442-316-0313
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: JAKE CALSI
Title or Position: ADMINISTRATOR
Credential:
Phone: 442-316-0313