| LCA CASE NUMBER | I-200-16281-694310 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2016-10-17 |
| DECISION DATE | 2019-10-02 |
| ORIGINAL CERT DATE | 2016-10-20 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | PHYSICIAN - FAMILY MEDICINE |
| SOC CODE | 29-1062 |
| SOC TITLE | FAMILY AND GENERAL PRACTITIONERS |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2016-11-01 |
| END DATE | 2019-10-30 |
| 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 | CLINICAS DEL CAMINO REAL, INC., |
| EMPLOYER ADDRESS1 | 1040 FLYNN ROAD |
| EMPLOYER CITY | CAMARILLO |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 93012 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 8056591740 |
| NAICS CODE | 621498 |
| EMPLOYER POC LAST NAME | LUCIO |
| EMPLOYER POC FIRST NAME | LIANA |
| EMPLOYER POC MIDDLE NAME | NONE |
| EMPLOYER POC JOB TITLE | PROVIDER RECRUITMENT/CREDENTIALING COORDINATOR |
| EMPLOYER POC ADDRESS1 | 1040 FLYNN ROAD |
| EMPLOYER POC CITY | CAMARILLO |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 93012 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 8056591740 |
| EMPLOYER POC EMAIL | LLUCIO@CLINICAS.ORG |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | ELAHE |
| AGENT ATTORNEY FIRST NAME | ELAHE |
| AGENT ATTORNEY ADDRESS1 | 1875 CENTURY PARK EAST |
| AGENT ATTORNEY ADDRESS2 | SUITE 600 |
| AGENT ATTORNEY CITY | CENTURY CITY |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 90067 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 3102846898.0 |
| AGENT ATTORNEY EMAIL ADDRESS | ELLIE@ENAJFABADI.COM |
| LAWFIRM NAME BUSINESS NAME | LAW OFFICES OF ELAHE NAJFABADI |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | CALIFORNIA SUPREME COURT |
| WORKSITE ADDRESS1 | VENTURA HEALTH CENTER |
| WORKSITE ADDRESS2 | 200 SOUTH WELLS ROAD |
| LCA CASE WORKLOC1 CITY | VENTURA |
| WORKSITE COUNTY | VENTURA |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 93004 |
| LCA CASE WAGE RATE FROM | 195000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
