# DIVINE DESIGN HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255268348
- **Authorized official:** DEBRA KREUTER BSN, RN, CFMP (OWNER/MANAGER)
- **Authorized official phone:** (323) 874-2565

## Contact information

- **Practice address:** 3662 REGAL PL, LOS ANGELES, CA 90068-1230
- **Practice address phone:** (323) 874-2565
- **Mailing address:** 500 S SEPULVEDA BLVD FL 4, LOS ANGELES, CA 90049-3550
- **Mailing address phone:** (323) 874-2565

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171400000X | Health & Wellness Coach | — | NULL | Yes |
| 171400000X | Health & Wellness Coach | — | — | Yes |

## Other

- **Enumeration date:** 05/05/2026
- **Last updated:** 05/05/2026