| LCA CASE NUMBER | I-200-22168-292983 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-06-17 |
| DECISION DATE | 2022-06-27 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Registered Nurse |
| SOC CODE | 29-1141.00 |
| SOC TITLE | Registered Nurses |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-10-01 |
| END DATE | 2025-09-30 |
| 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 | Gary T. Lai, MD |
| EMPLOYER ADDRESS1 | 14335 Pipeline Ave |
| EMPLOYER ADDRESS2 | Suite A-1 |
| EMPLOYER CITY | Chino |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 91710 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19092408870 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Lai |
| EMPLOYER POC FIRST NAME | Gary |
| EMPLOYER POC JOB TITLE | Medical Doctor |
| EMPLOYER POC ADDRESS1 | 14335 Pipeline Ave |
| EMPLOYER POC ADDRESS2 | Suite A-1 |
| EMPLOYER POC CITY | Chino |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 91710 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19092408870 |
| EMPLOYER POC EMAIL | chinomedicalclinic@gmail.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Kiang |
| AGENT ATTORNEY FIRST NAME | William |
| AGENT ATTORNEY ADDRESS1 | 1411 S Garfield Ave Ste 207 |
| AGENT ATTORNEY CITY | Alhambra |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 91801 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16267827759 |
| AGENT ATTORNEY EMAIL ADDRESS | wk@wklaws.com |
| LAWFIRM NAME BUSINESS NAME | Law Offices of William Kiang |
| STATE OF HIGHEST COURT | CA |
|
| NAME OF HIGHEST STATE COURT | California Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 14335 Pipeline Ave |
| WORKSITE ADDRESS2 | Suite A-1 |
| LCA CASE WORKLOC1 CITY | Chino |
| WORKSITE COUNTY | SAN BERNARDINO |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 91710 |
| LCA CASE WAGE RATE FROM | 80184 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 80184 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| 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 and Employment |
| PREPARER LAST NAME | Kiang |
| PREPARER FIRST NAME | William |
| PREPARER MIDDLE INITIAL | K |
| PREPARER BUSINESS NAME | Law Offices of William Kiang |
| PREPARER EMAIL | wk@wklaws.com |
