| LCA CASE NUMBER | I-200-23160-097802 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-06-09 |
| DECISION DATE | 2023-06-16 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | MEDICAL DOCTOR |
| SOC CODE | 29-1216.00 |
| SOC TITLE | General Internal Medicine Physicians |
| FULL TIME POSITION | False |
| LCA CASE EMPLOYMENT START DATE | 2023-07-13 |
| END DATE | 2026-07-12 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | DONG S KIM MD INC |
| EMPLOYER ADDRESS1 | 11441 HEACOCK ST STE F |
| EMPLOYER CITY | MORENO VALLEY |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 92557 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19512438000 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | KIM |
| EMPLOYER POC FIRST NAME | DONG |
| EMPLOYER POC MIDDLE NAME | S |
| EMPLOYER POC JOB TITLE | PRESIDENT |
| EMPLOYER POC ADDRESS1 | 11441 HEACOCK ST STE F |
| EMPLOYER POC CITY | MORENO VALLEY |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 92557 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19512438000 |
| EMPLOYER POC EMAIL | chrisdkim@msn.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | LEE |
| AGENT ATTORNEY FIRST NAME | K FREEMAN |
| AGENT ATTORNEY ADDRESS1 | 4801 WILSHIRE BLVD STE 308 |
| AGENT ATTORNEY CITY | LOS ANGELES |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 90010 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12133659191 |
| AGENT ATTORNEY EMAIL ADDRESS | kfreeman7120@gmail.com |
| LAWFIRM NAME BUSINESS NAME | KFL LEGAL GROUP, P.C. |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | NEW YORK SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 11441 HEACOCK ST STE F |
| LCA CASE WORKLOC1 CITY | MORENO VALLEY |
| WORKSITE COUNTY | RIVERSIDE |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 92557 |
| LCA CASE WAGE RATE FROM | 60.57 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 60.57 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
