| LCA CASE NUMBER | I-200-21040-066456 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-02-09 |
| DECISION DATE | 2021-02-17 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Family Nurse Practitioner |
| SOC CODE | 29-1171.00 |
| SOC TITLE | Nurse Practitioners |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-08-11 |
| END DATE | 2024-08-10 |
| 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 and 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 PHONE | 13235411600 |
| NAICS CODE | 6214 |
| EMPLOYER POC LAST NAME | Chao |
| EMPLOYER POC FIRST NAME | Martin |
| EMPLOYER POC JOB TITLE | Director of Recruitment |
| EMPLOYER POC ADDRESS 1 | 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 | True |
| AGENT ATTORNEY LAST NAME | IYER |
| AGENT ATTORNEY FIRST NAME | RAJKRISHNA |
| AGENT ATTORNEY MIDDLE NAME | Sriram |
| AGENT ATTORNEY ADDRESS1 | 21250 HAWTHORNE BLVD |
| AGENT ATTORNEY ADDRESS2 | STE. 700 |
| AGENT ATTORNEY CITY | TORRANCE |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 90503 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13103283322 |
| AGENT ATTORNEY EMAIL ADDRESS | raj@immigrationgc.com |
| LAWFIRM NAME BUSINESS NAME | Iyer Demirovic Chinchoy LLP |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| 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 | 110968 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 110968 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
