| LCA CASE NUMBER | I-200-20190-702942 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-07-08 |
| DECISION DATE | 2020-07-15 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Associate Physician ñ Primary Care Physician |
| SOC CODE | 29-1063.00 |
| SOC TITLE | Internists, General |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-11-02 |
| END DATE | 2023-11-01 |
| 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 | The Permanente Medical Group, Inc. |
| EMPLOYER ADDRESS1 | 7373 West Ln |
| EMPLOYER CITY | Stockton |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 95210 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12094762000 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | D'Souza |
| EMPLOYER POC FIRST NAME | Kelly |
| EMPLOYER POC JOB TITLE | Physician HR Leader |
| EMPLOYER POC ADDRESS1 | 4601 Dale Road |
| EMPLOYER POC CITY | Modesto |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 95356 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12097354133 |
| EMPLOYER POC EMAIL | Kelly.M.D'Souza@kp.org |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Murphy |
| AGENT ATTORNEY FIRST NAME | Maggie |
| AGENT ATTORNEY ADDRESS1 | 816 Congress Avenue |
| AGENT ATTORNEY ADDRESS2 | Suite 1530 |
| AGENT ATTORNEY CITY | Austin |
| AGENT ATTORNEY STATE | TX |
| AGENT ATTORNEY POSTAL CODE | 78701 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15123627100.0 |
| AGENT ATTORNEY EMAIL ADDRESS | maggie.murphy@jacksonlewis.com |
| LAWFIRM NAME BUSINESS NAME | Jackson Lewis P.C. |
| STATE OF HIGHEST COURT | TX |
| NAME OF HIGHEST STATE COURT | Texas |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 7373 West Ln |
| LCA CASE WORKLOC1 CITY | Stockton |
| WORKSITE COUNTY | SAN JOAQUIN |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 95210 |
| LCA CASE WAGE RATE FROM | 265000.0 |
| LCA CASE WAGE RATE TO | 275000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 226512.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Homerstad |
| PREPARER FIRST NAME | Briana |
| PREPARER MIDDLE INITIAL | M |
| PREPARER BUSINESS NAME | Jackson Lewis P.C. |
| PREPARER EMAIL | briana.homerstad@jacksonlewis.com |
