Organization Active NPI

Divine Design Health

  • Health & Wellness Coach
  • Los Angeles, CA
National Provider Identifier
1255268348
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
Legal business name
DIVINE DESIGN HEALTH
Practice address
3662 Regal PL
Los Angeles, CA 90068-1230
Phone
(323) 874-2565
NPI assigned
May 5, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Authorized official

Name
Debra Kreuter, BSN, RN, CFMPNPI 1669356325
Title
Owner/Manager
Phone
(323) 874-2565

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness CoachGroup: 193400000X SINGLE SPECIALTY GROUP 171400000X Primary

Addresses

Primary practice location

3662 Regal PL
Los Angeles, CA 90068-1230

Mailing address

500 S Sepulveda Blvd FL 4
Los Angeles, CA 90049-3550
Phone (323) 874-2565

National Provider Directory

National Provider Directory

Locations

500 S Sepulveda Blvd
Fl 4
Los Angeles, CA 90049

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1777939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777939200000",
    "number": "1255268348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S SEPULVEDA BLVD FL 4",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900493550",
            "telephone_number": "323-874-2565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3662 REGAL PL",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900681230",
            "telephone_number": "323-874-2565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE DESIGN HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-05",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A",
        "authorized_official_last_name": "KREUTER",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "323-874-2565",
        "authorized_official_credential": "BSN, RN, CFMP"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; 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.