KLM Surgical Associates

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

KLM SURGICAL ASSOCIATES

Practice address

4640 Admiralty Way Ste 901
Marina del Rey, CA 90292-6630

Phone

(310) 577-5540

Fax

(310) 623-1922

NPI assigned

Oct 21, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Sergey Lyass, MDNPI 1316996911

Title

Partner

Phone

(310) 402-1782

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sergey Lyass, MD

  • Surgery Physician
  • Encino, CA
  • NPI 1316996911
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1761004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761004800000",
    "number": "1114894599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4640 ADMIRALTY WAY STE 901",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926630",
            "telephone_number": "310-577-5540",
            "fax_number": "310-623-1922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4640 ADMIRALTY WAY STE 901",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926630",
            "telephone_number": "310-577-5540",
            "fax_number": "310-623-1922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLM SURGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-21",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A",
        "authorized_official_last_name": "LYASS",
        "authorized_official_first_name": "SERGEY",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "310-402-1782",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen R. Kimmel, LCSW
• Edward King, MD
• Kinnected
• Katy Kleinberg, DPT, PT
• Cergei Walter Klishevich, D.C.
• Eric J Klostermann, D.P.M.
• Kobayashi Optometric Inc
• Susan Kohler, MSCCCSLP
• Mickey M Kolodny, MD
• Nataliia Komashko

• Surgery Physician in Marina del Rey, CA
• Providers in Marina del Rey, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.