| LCA CASE NUMBER | I-200-21272-612896 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-09-29 |
| DECISION DATE | 2021-10-06 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Center Medical Director, Physician |
| SOC CODE | 29-1069.08 |
| SOC TITLE | Physical Medicine and Rehabilitation Physicians |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-12-06 |
| END DATE | 2024-12-05 |
| 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 | Occupational Health Centers of California, A Medical Corporation |
| EMPLOYER ADDRESS1 | c/o Concentra, 5080 Spectrum Drive |
| EMPLOYER ADDRESS2 | Ste 1200 |
| EMPLOYER CITY | West Addison |
| EMPLOYER STATE | TX |
| EMPLOYER POSTAL CODE | 75001 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19723648024 |
| NAICS CODE | 621340 |
| EMPLOYER POC LAST NAME | Smith |
| EMPLOYER POC FIRST NAME | Courtney |
| EMPLOYER POC JOB TITLE | Senior Corporate Paralegal |
| EMPLOYER POC ADDRESS1 | c/o Select Medical 4714 Gettysburg Road |
| EMPLOYER POC CITY | Mechanicsburg |
| EMPLOYER POC STATE | PA |
| EMPLOYER POC POSTAL CODE | 17055 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17179754541 |
| EMPLOYER POC EMAIL | Coismith@selectmedical.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Stock |
| AGENT ATTORNEY FIRST NAME | William |
| AGENT ATTORNEY MIDDLE NAME | A |
| AGENT ATTORNEY ADDRESS1 | 1601 Market Street |
| AGENT ATTORNEY ADDRESS2 | Ste 2600 |
| AGENT ATTORNEY CITY | Philadelphia |
| AGENT ATTORNEY STATE | PA |
| AGENT ATTORNEY POSTAL CODE | 19103 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12158258600 |
| AGENT ATTORNEY EMAIL ADDRESS | dkoskulitz@klaskolaw.com |
| LAWFIRM NAME BUSINESS NAME | Klasko Immigration Law Partners, LLP |
| STATE OF HIGHEST COURT | PA |
| NAME OF HIGHEST STATE COURT | Supreme |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 420 E. 3rd St. |
| LCA CASE WORKLOC1 CITY | Los Angeles |
| WORKSITE COUNTY | LOS ANGELES |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 90013 |
| LCA CASE WAGE RATE FROM | 243681 |
| LCA CASE WAGE RATE TO | 294982 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 176426 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
