| LCA CASE NUMBER | I-200-20174-672069 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-06-22 |
| DECISION DATE | 2020-06-29 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Pediatrician-Neonatologist |
| SOC CODE | 29-1065.00 |
| SOC TITLE | Pediatricians, General |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-07-31 |
| END DATE | 2023-07-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Pediatric Subspecialty Faculty, Inc. |
| EMPLOYER ADDRESS1 | 1201 W. La Veta Ave |
| EMPLOYER CITY | Orange |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 92868 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17145094873 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Blumberg |
| EMPLOYER POC FIRST NAME | Brittney |
| EMPLOYER POC JOB TITLE | Administrator- HR |
| EMPLOYER POC ADDRESS1 | 1201 W. La Veta Ave |
| EMPLOYER POC CITY | Orange |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 92868 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17145094873 |
| EMPLOYER POC EMAIL | bblumberg@choc.org |
| AGENT REPRESENTING EMPLOYER | N |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 1201 W. La Veta Ave |
| LCA CASE WORKLOC1 CITY | Orange |
| WORKSITE COUNTY | ORANGE |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 92868 |
| LCA CASE WAGE RATE FROM | 220000.0 |
| LCA CASE WAGE RATE TO | 230000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 121680.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| 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 | Pearson |
| PREPARER FIRST NAME | Jeffrey |
| PREPARER MIDDLE INITIAL | D |
| PREPARER BUSINESS NAME | J Pearson Associates |
| PREPARER EMAIL | bblumberg@choc.org |
