| LCA CASE NUMBER | I-200-16111-405026 |
| STATUS | CERTIFIED-WITHDRAWN |
| LCA CASE SUBMIT | 5/2/16 |
| DECISION DATE | 6/11/18 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 9/13/16 |
| EMPLOYMENT END DATE | 9/12/19 |
| LCA CASE EMPLOYER NAME | GOOD SAMARITAN HOSPITAL |
| EMPLOYER ADDRESS | 1225 WILSHIRE BLVD. |
| EMPLOYER CITY | LOS ANGELES |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 90017 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 2139772121 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | SHUSTERMAN, CARL |
| AGENT ATTORNEY CITY | LOS ANGELES |
| AGENT ATTORNEY STATE | CA |
| LCA CASE JOB TITLE | INFECTION PREVENTIONIST |
| SOC CODE | 19-1041 |
| SOC NAME | EPIDEMIOLOGISTS |
| NAICS CODE | 62211 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 1 |
| NEW CONCURRENT EMP | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 57,637.00 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | Level III |
| PW SOURCE | Other |
| PW SOURCE YEAR | 2016 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 79,331.20 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LABOR CON AGREE | Y |
| LCA CASE WORKLOC1 CITY | LOS ANGELES |
| WORKSITE COUNTY | LOS ANGELES |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 90017 |
| ORIGINAL CERT DATE | 5/6/16 |
