| LCA CASE NUMBER | I-200-20135-573639 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-05-14 |
| DECISION DATE | 2020-05-21 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Family Medicine Physician |
| SOC CODE | 29-1062.00 |
| SOC TITLE | Family and General Practitioners |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-08-31 |
| END DATE | 2023-08-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | St. John's Well Child & Family Center, Inc. |
| EMPLOYER ADDRESS1 | 808 W. 58th Street |
| EMPLOYER CITY | Los Angeles |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 90037 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | California |
| EMPLOYER PHONE | 12132267443 |
| NAICS CODE | 621498 |
| EMPLOYER POC LAST NAME | Chao |
| EMPLOYER POC FIRST NAME | Martin |
| EMPLOYER POC JOB TITLE | Director of Recruitment |
| EMPLOYER POC ADDRESS1 | 808 W. 58th Street |
| EMPLOYER POC CITY | Los Angeles |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 90037 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12132267443 |
| EMPLOYER POC EMAIL | mchao@wellchild.org |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Gertler |
| AGENT ATTORNEY FIRST NAME | Cheryl |
| AGENT ATTORNEY ADDRESS1 | 1055 West Seventh Street, Suite 2400 |
| AGENT ATTORNEY CITY | Los Angeles |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 90017 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12134175167.0 |
| AGENT ATTORNEY EMAIL ADDRESS | szhang@clarkhill.com |
| LAWFIRM NAME BUSINESS NAME | Clark Hill PLC |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 808 W. 58TH STREET |
| LCA CASE WORKLOC1 CITY | Los Angeles |
| WORKSITE COUNTY | LOS ANGELES |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 90037 |
| LCA CASE WAGE RATE FROM | 220000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 109158.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 5 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Gertler |
| PREPARER FIRST NAME | Cheryl |
| PREPARER BUSINESS NAME | Clark Hill PLC |
| PREPARER EMAIL | szhang@clarkhill.com |
