| LCA CASE NUMBER | I-200-20132-560147 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-05-11 |
| DECISION DATE | 2020-05-18 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | ObGYN Physician |
| SOC CODE | 29-1064.00 |
| SOC TITLE | Obstetricians and Gynecologists |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-07-03 |
| END DATE | 2023-07-02 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| LCA CASE EMPLOYER NAME | COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST, INC. |
| TRADE NAME DBA | CHC OF THE CENTRAL COAST |
| EMPLOYER ADDRESS1 | 150 TEJAS PLACE |
| EMPLOYER CITY | NIPOMO |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 93444 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18053463908 |
| NAICS CODE | 621498 |
| EMPLOYER POC LAST NAME | Sosa |
| EMPLOYER POC FIRST NAME | Sophia |
| EMPLOYER POC JOB TITLE | Deputy CEO |
| EMPLOYER POC ADDRESS1 | 150 TEJAS PLACE |
| EMPLOYER POC CITY | Nipomo |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 93444 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18053463908 |
| EMPLOYER POC EMAIL | SSOSA@CHCCC.ORG |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Chary |
| AGENT ATTORNEY FIRST NAME | Siddharth |
| AGENT ATTORNEY MIDDLE NAME | S |
| AGENT ATTORNEY ADDRESS1 | 122 West 27th Street |
| AGENT ATTORNEY ADDRESS2 | 7th FL |
| AGENT ATTORNEY CITY | New York |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10001 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12129608365.0 |
| AGENT ATTORNEY EMAIL ADDRESS | sid@charylaw.com |
| LAWFIRM NAME BUSINESS NAME | The Chary Law Firm, P.C. |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Court of Appeals |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 2801 Santa Maria Way |
| LCA CASE WORKLOC1 CITY | Santa Maria |
| WORKSITE COUNTY | SANTA BARBARA |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 93454 |
| LCA CASE WAGE RATE FROM | 318275.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 262496.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| 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 and Employment |
