\ H1B CASE NUMBER I-200-17142-254282



CASE NUNBER: I-200-17142-254282

LCA CASE NUMBERI-200-17142-254282
STATUSCERTIFIED
LCA CASE SUBMIT5/24/2017
DECISION DATE5/31/2017
VISA CLASSH-1B
LCA CASE EMPLOYMENT START DATE6/10/2017
EMPLOYMENT END DATE6/10/2020
LCA CASE EMPLOYER NAMEHEMCHAND KOLLI, MD INC.
EMPLOYER BUSINESS DBAN/A
EMPLOYER ADDRESS1278 E. LATHAM AVENUE
EMPLOYER CITYHEMET
EMPLOYER STATECA
EMPLOYER POSTAL CODE92543
EMPLOYER COUNTRYUNITED STATES OF AMERICA
EMPLOYER PROVINCEN/A
EMPLOYER PHONE9515666586
AGENT REPRESENTING EMPLOYERY
AGENT ATTORNEY NAMEBADMUS, ANN
AGENT ATTORNEY CITYFRISCO
AGENT ATTORNEY STATETX
LCA CASE JOB TITLEINTERNAL MEDICINE PHYSICIAN
SOC CODE29-1063
SOC NAMEINTERNISTS, GENERAL
NAICS CODE621111
TOTAL WORKERS1
NEW EMPLOYMENT0
CONTINUED EMPLOYMENT1
CHANGE PREVIOUS EMPLOYMENT0
NEW CONCURRENT EMPLOYMENT0
CHANGE EMPLOYER0
AMENDED PETITION0
FULL TIME POSITIONY
PREVAILING WAGE125,986.00
PW UNIT OF PAYYear
PW WAGE LEVELLevel III
PW SOURCEOES
PW SOURCE YEAR2016
PW SOURCE OTHEROFLC ONLINE DATA CENTER
LCA CASE WAGE RATE FROM180,000.00
LCA CASE WAGE RATE TO0.00
LCA CASE WAGE RATE UNITYear
H1B DEPENDENTN
WILLFUL VIOLATORN
SUPPORT H1BNA
LCA CASE WORKLOC1 CITYHEMET
WORKSITE COUNTYRIVERSIDE
LCA CASE WORKLOC1 STATECA
WORKSITE POSTAL CODE92543