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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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