EXCLUDEDPROVIDER
Individual Revocation

Sean Kee Park

Fullerton, CA 92833

Public HHS-OIG LEIE exclusion record

Sean Kee Park of Fullerton, CA is registered in the CMS NPI Registry under National Provider Identifier (NPI) 1700070976 with a primary specialty of Dentist. According to the HHS-OIG List of Excluded Individuals/Entities (LEIE), Sean Kee Park is currently excluded from participation in federally funded health care programs due to license revocation, suspension, or surrender, as of September 18, 2014.

Status
Currently listed by HHS-OIG
Record type
Individual
Location
Fullerton, CA 92833
Exclusion date
September 18, 2014
Exclusion type
Revocation (1128b4)
NPI
1700070976

Record summary

Sean Kee Park appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an individual record associated with Fullerton, California. The latest imported LEIE dataset lists this record as currently excluded from participation in federally funded health care programs. The exclusion date shown in the source record is September 18, 2014, and the exclusion type is 1128b4, identified by HHS-OIG as license revocation, suspension, or surrender.

Source record

SourceHHS-OIG LEIE (public dataset)
Record typeIndividual
Current statusCurrently listed by HHS-OIG
Exclusion dateSeptember 18, 2014
Exclusion typeLicense revocation, suspension, or surrender (1128b4)
NPI1700070976
Source dataset dateMay 2026

What this exclusion type means

HHS-OIG identifies exclusion type 1128b4 as “License revocation, suspension, or surrender.” License revocation, suspension, or surrender (permissive exclusion).

This exclusion type is a statutory category used by HHS-OIG in the LEIE dataset. The category describes the legal authority associated with the exclusion record, not a separate investigation or additional reporting by Excluded Provider.

Location and provider classification

This LEIE record is associated with Fullerton, CA 92833. The listed provider category is Individual - Licensed Health Care Service Provider. The listed specialty is Dentist.

NPI Registry context

The LEIE record lists NPI 1700070976. CMS NPPES public registry data lists this NPI as an individual record with primary taxonomy Dentist (122300000X). Registered practice location: Fullerton, CA. NPI enumeration date: Aug 30, 2007. NPPES status: Active. The NPI Registry lists credential: D.D.S..

NPI Registry data is administrative provider-identification data from CMS. It does not independently verify or explain the HHS-OIG exclusion record above. Verify exclusion status directly with HHS-OIG.

Other excluded providers in Fullerton, CA

Other individuals and entities currently listed in the HHS-OIG LEIE public dataset with a Fullerton, CA address.

Gina Louise Villareal Individual Revocation
Fullerton, CA · License revocation, suspension, or surrender · Excluded Jun 2025
Isauro Marabut Jr Agustin Individual Program Crime
Fullerton, CA · Conviction of program-related crimes · Excluded Feb 2025
Robert R Jr Kraszewski Individual Revocation
Fullerton, CA · License revocation, suspension, or surrender · Excluded Jan 2023
John Bansuk Park Individual Program Crime
Fullerton, CA · Conviction of program-related crimes · Excluded Oct 2020
Lorenzo Villacorta Individual Patient Abuse
Fullerton, CA · Conviction relating to patient abuse or neglect · Excluded Nov 2018
Roselyn Luis Individual Patient Abuse
Fullerton, CA · Conviction relating to patient abuse or neglect · Excluded Nov 2018
Elizabeth Ynacay Kim Individual Patient Abuse
Fullerton, CA · Conviction relating to patient abuse or neglect · Excluded Oct 2016
Bruce Lloyd Gunn Individual Revocation
Fullerton, CA · License revocation, suspension, or surrender · Excluded Jun 2016

See all 21 excluded providers in Fullerton →

How to verify this record

This page is a public-record summary and should be treated as a possible LEIE match, not final identity verification. To verify the record, use the official HHS-OIG LEIE search and compare available identifying information through the official process. Name, location, provider category, specialty, exclusion date, and NPI should be treated as matching clues rather than final proof of identity.

What this page does not include

This page summarizes the HHS-OIG LEIE public dataset only. It does not search state Medicaid exclusion lists, state licensing-board actions, court records, malpractice records, employment history, civil lawsuits, or non-public investigations.

Verify this record with the official HHS-OIG source Save or print this record Monitor this provider/entity Need to screen a list? Join the bulk screening beta

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Related

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