Organization
AKIDO MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JARED GOODNER (OFFICER, SECRETARY)
(213) 348-6051
Entity
Organization
Contact information
Practice address
101 BROADWAY, SUITE 301, BROOKLYN, NY 11249-6034
(213) 348-6051
Mailing address
8605 SANTA MONICA BLVD, PMB 17538, WEST HOLLYWOOD, CA 90069-4109
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
06/26/2025
Last updated
04/07/2026
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