| LCA CASE NUMBER | I-200-20027-277385 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2020-01-27 |
| DECISION DATE | 2020-05-19 |
| ORIGINAL CERT DATE | 2020-02-03 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Assistant Professor of Pediatrics |
| SOC CODE | 25-1071.00 |
| SOC TITLE | Health Specialties Teachers, Postsecondary |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-04-11 |
| END DATE | 2023-04-10 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Children's Hospital Los Angeles Medical Group |
| EMPLOYER ADDRESS1 | 3701 Wilshire Blvd |
| EMPLOYER ADDRESS2 | Suite 600 |
| EMPLOYER CITY | Los Angeles |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 90010 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13233612336 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Sadamitsu |
| EMPLOYER POC FIRST NAME | Mark |
| EMPLOYER POC JOB TITLE | Chief Financial Officer |
| EMPLOYER POC ADDRESS1 | 3701 Wilshire Blvd |
| EMPLOYER POC ADDRESS2 | Suite 600 |
| EMPLOYER POC CITY | Los Angeles |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 90010 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13233612345 |
| EMPLOYER POC EMAIL | MSADAMITSU@CHLA.USC.EDU |
| AGENT REPRESENTING EMPLOYER | Y |
| 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 | 13105704088.0 |
| 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 | Y |
| SECONDARY ENTITY BUSINESS NAME | Children's Hospital Los Angeles |
| WORKSITE ADDRESS1 | 4650 Sunset Boulevard |
| LCA CASE WORKLOC1 CITY | Los Angeles |
| WORKSITE COUNTY | LOS ANGELES |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 90027 |
| LCA CASE WAGE RATE FROM | 168900.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 129623.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 4 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Kim |
| PREPARER FIRST NAME | Jean |
| PREPARER BUSINESS NAME | Wolfsdorf Rosenthal LLP |
| PREPARER EMAIL | jkim@wolfsdorf.com |
