MEDICARE: OVERHEAD SUN MENTAL HEALTH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207PE0004X	Emergency Medical Services (Emergency Medicine) Physician
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner
3	363LP2300X	Primary Care Nurse Practitioner
4	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1508677121
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OVERHEAD SUN MENTAL HEALTH

Provider Business Mailing Address
First Line	:	2436 E 4TH ST # 532
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90814-1156
Country	:	US
Telephone Number	:	562-533-7373
Fax Number	:	209-364-1373

Provider Business Practice Location Address
First Line	:	4521 E CESAR E CHAVEZ AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90022-1116
Country	:	US
Telephone Number	:	562-533-7373
Fax Number	:

Authorized Official
Title or Position	:	CO-OWNER
Name	:	HILLARY MENNELLA
Credential	:	DNP
Telephone Number	:	562-533-7373

Provider Enumeration Date	:	01/14/2025
Last Update Date	:	08/18/2025

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Directions to “OVERHEAD SUN MENTAL HEALTH ” Practice Location

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