EXCLUDEDPROVIDER
Individual Patient Abuse

Kisoo Song

Redondo Beach, CA 90278

Public HHS-OIG LEIE exclusion record

Kisoo Song of Redondo Beach, CA is registered in the CMS NPI Registry under National Provider Identifier (NPI) 1770662181 with a primary specialty of Acupuncturist. According to the HHS-OIG List of Excluded Individuals/Entities (LEIE), Kisoo Song is currently excluded from participation in federally funded health care programs due to conviction relating to patient abuse or neglect, as of June 17, 2010.

Status
Currently listed by HHS-OIG
Record type
Individual
Location
Redondo Beach, CA 90278
Exclusion date
June 17, 2010
Exclusion type
Patient Abuse (1128a2)
NPI
1770662181

Record summary

Kisoo Song appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an individual record associated with Redondo Beach, 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 June 17, 2010, and the exclusion type is 1128a2, identified by HHS-OIG as conviction relating to patient abuse or neglect.

Source record

SourceHHS-OIG LEIE (public dataset)
Record typeIndividual
Current statusCurrently listed by HHS-OIG
Exclusion dateJune 17, 2010
Exclusion typeConviction relating to patient abuse or neglect (1128a2)
NPI1770662181
Source dataset dateMay 2026

What this exclusion type means

HHS-OIG identifies exclusion type 1128a2 as “Conviction relating to patient abuse or neglect.” Conviction relating to patient abuse or neglect (mandatory exclusion, minimum 5 years).

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 Redondo Beach, CA 90278. The listed provider category is Acupuncturist.

NPI Registry context

The LEIE record lists NPI 1770662181. CMS NPPES public registry data lists this NPI as an individual record with primary taxonomy Acupuncturist (171100000X). Registered practice location: San Bernardino, CA. NPI enumeration date: Nov 4, 2006. NPPES status: Active. The NPI Registry lists credential: D.O.M..

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 Redondo Beach, CA

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

Gary Michael Ohashi Individual Revocation
Redondo Beach, CA · License revocation, suspension, or surrender · Excluded Aug 2025
Brian David Carrico Individual Program Suspension
Redondo Beach, CA · Exclusion or suspension under a federal or state health care program · Excluded Jun 2020
Kristina Marie Corral Individual Felony Fraud
Redondo Beach, CA · Felony conviction relating to health care fraud · Excluded Jun 2018
Leland G Whitson Individual Revocation
Redondo Beach, CA · License revocation, suspension, or surrender · Excluded Jan 2018
Jacqueline Gardner Individual Program Crime
Redondo Beach, CA · Conviction of program-related crimes · Excluded Jun 2016
Linda K Thompson Individual Revocation
Redondo Beach, CA · License revocation, suspension, or surrender · Excluded Dec 2012
Renee Pernell Individual Program Crime
Redondo Beach, CA · Conviction of program-related crimes · Excluded Sep 2011
Clifford Lee Ermshar Individual Loan Default
Redondo Beach, CA · Default on health education loan or scholarship obligations · Excluded Aug 2011

See all 20 excluded providers in Redondo Beach →

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

More Excluded Individuals in California More Records in Redondo Beach More Patient Abuse Records