| LCA CASE NUMBER | I-200-20106-489238 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-04-15 |
| DECISION DATE | 2020-04-22 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | DENTIST |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-10-01 |
| END DATE | 2023-09-30 |
| 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 | JIN Y. KIM, DDS, MPH, MS, INC. |
| EMPLOYER ADDRESS1 | 620 N DIAMOND BAR BLVD |
| EMPLOYER CITY | DIAMOND BAR |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 91765 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19098609222 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | KIM |
| EMPLOYER POC FIRST NAME | JIN |
| EMPLOYER POC MIDDLE NAME | Y |
| EMPLOYER POC JOB TITLE | C.E.O. |
| EMPLOYER POC ADDRESS1 | 620 N DIAMOND BAR BLVD |
| EMPLOYER POC CITY | DIAMOND BAR |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 91765 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19098609222 |
| EMPLOYER POC EMAIL | JIN@DRJINKIM.COM |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | KAHNG |
| AGENT ATTORNEY FIRST NAME | JIM |
| AGENT ATTORNEY ADDRESS1 | 3424 W. CARSON STREET, SUITE 440 |
| AGENT ATTORNEY ADDRESS2 | LAW OFFICES OF JIM KAHNG |
| AGENT ATTORNEY CITY | TORRANCE |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 90503 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13102140555.0 |
| AGENT ATTORNEY EMAIL ADDRESS | WEBMASTER@USIMMIGLAW.COM |
| LAWFIRM NAME BUSINESS NAME | LAW OFFICES OF JIM KAHNG |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | STATE SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 12777 VALLEY VIEW ST., STE 282 |
| LCA CASE WORKLOC1 CITY | GARDEN GROVE |
| WORKSITE COUNTY | ORANGE |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 92845 |
| LCA CASE WAGE RATE FROM | 30.71 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 30.71 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | KAHNG |
| PREPARER FIRST NAME | JIM |
| PREPARER BUSINESS NAME | LAW OFFICES OF JIM KAHNG |
| PREPARER EMAIL | WEBMASTER@USIMMIGLAW.COM |
