Organization
STACY PETERSEN MEDICAL GROUP, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY DIFLEY NP (SECRETARY)
(949) 991-4172
Entity
Organization
Contact information
Practice address
4445 MAGNOLIA AVE, RIVERSIDE, CA 92501
(949) 991-4172
(949) 288-0429
Mailing address
26791 ALISO CREEK RD # 1018, ALISO VIEJO, CA 92656-2887
(949) 288-0429
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
02/12/2026
Last updated
02/12/2026
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