| LCA CASE NUMBER | I-200-21152-358177 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-06-01 |
| DECISION DATE | 2021-06-08 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Chief Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-07-05 |
| END DATE | 2024-07-04 |
| 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 | DEPARTMENT OF STATE HOSPITALS - COALINGA |
| EMPLOYER ADDRESS1 | 24511 WEST JAYNE AVENUE |
| EMPLOYER CITY | COALINGA |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 93210 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15599354300 |
| NAICS CODE | 622210 |
| EMPLOYER POC LAST NAME | Cherry |
| EMPLOYER POC FIRST NAME | Rodrick |
| EMPLOYER POC JOB TITLE | Staff Services Manager I |
| EMPLOYER POC ADDRESS 1 | 24511 West Jayne Avenue |
| EMPLOYER POC CITY | Coalinga |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 93210 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15599357222 |
| EMPLOYER POC EMAIL | Rodrick.Cherry@dsh.ca.gov |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Rosenthal |
| AGENT ATTORNEY FIRST NAME | Clifford |
| AGENT ATTORNEY MIDDLE NAME | Evan |
| AGENT ATTORNEY ADDRESS1 | 1416 2nd Street |
| AGENT ATTORNEY CITY | Santa Monica |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 90401 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13105704088 |
| AGENT ATTORNEY EMAIL ADDRESS | crosenthal@wolfsdorf.com |
| LAWFIRM NAME BUSINESS NAME | Wolfsdorf Rosenthal LLP |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court |
|
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 24511 WEST JAYNE AVENUE |
| LCA CASE WORKLOC1 CITY | COALINGA |
| WORKSITE COUNTY | FRESNO |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 93210 |
| LCA CASE WAGE RATE FROM | 26240 |
| LCA CASE WAGE RATE TO | 29797 |
| LCA CASE WAGE RATE UNIT | Month |
| PREVAILING WAGE | 26240 |
| PW UNIT OF PAY | Month |
| PW OTHER SOURCE | CBA |
| PW OTHER YEAR | 2020 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | KASPER |
| PREPARER FIRST NAME | SASHA |
| PREPARER BUSINESS NAME | WOLFSDORF ROSENTHAL LLP |
| PREPARER EMAIL | SKASPER@WOLFSDORF.COM |
