| LCA CASE NUMBER | I-200-21243-556521 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-08-31 |
| DECISION DATE | 2021-09-08 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Clinical Pharmacist |
| SOC CODE | 29-1051.00 |
| SOC TITLE | Pharmacists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-02-06 |
| END DATE | 2025-02-05 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 1 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | HanSam Corp |
| TRADE NAME DBA | River's Edge Pharmacy |
| EMPLOYER ADDRESS1 | 16782 Von Karman Ave #12 |
| EMPLOYER CITY | Irvine |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 92606 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19493935780 |
| NAICS CODE | 446110 |
| EMPLOYER POC LAST NAME | Ortega |
| EMPLOYER POC FIRST NAME | Hala |
| EMPLOYER POC JOB TITLE | Human Resource |
| EMPLOYER POC ADDRESS1 | 16782 Von Karman Ave Suite 12 |
| EMPLOYER POC CITY | Irvine |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 92606 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19497837008 |
| EMPLOYER POC EMAIL | hr@repharmacy.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Fuentes |
| AGENT ATTORNEY FIRST NAME | Rolando |
| AGENT ATTORNEY MIDDLE NAME | E |
| AGENT ATTORNEY ADDRESS1 | 17042 Devonshire Street Suite 215 |
| AGENT ATTORNEY CITY | Northridge |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 91325 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18187442257 |
| AGENT ATTORNEY EMAIL ADDRESS | rolando@attorneyrfuentes.com |
| LAWFIRM NAME BUSINESS NAME | Law Offices of Rolando E Fuentes |
| STATE OF HIGHEST COURT | CA |
|
| NAME OF HIGHEST STATE COURT | Supreme Court of California |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 36919 Cook St Suite 102 |
| LCA CASE WORKLOC1 CITY | Palm Desert |
| WORKSITE COUNTY | RIVERSIDE |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 92211 |
| LCA CASE WAGE RATE FROM | 57.63 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 52.17 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H-1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
