| LCA CASE NUMBER | I-200-21032-045773 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-02-01 |
| DECISION DATE | 2021-02-08 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | PHYSICIAN |
| SOC CODE | 29-1062.00 |
| SOC TITLE | Family and General Practitioners |
| FULL TIME POSITION | False |
| LCA CASE EMPLOYMENT START DATE | 2021-03-28 |
| END DATE | 2022-03-28 |
| 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 | LA CLINICA DE LA RAZA INC |
| EMPLOYER ADDRESS1 | 1450 Fruitvale Avenue |
| EMPLOYER ADDRESS2 | 3rd Floor |
| EMPLOYER CITY | Oakland |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 94601 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15105354000 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Moutoussamy |
| EMPLOYER POC FIRST NAME | John |
| EMPLOYER POC JOB TITLE | HR DIRECTOR |
| EMPLOYER POC ADDRESS 1 | 1450 Fruitvale Avenue |
| EMPLOYER POC ADDRESS 2 | 3rd Floor |
| EMPLOYER POC CITY | Oakland |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 94601 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15105353319 |
| EMPLOYER POC EMAIL | jmountosamy@laclinica.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | RANCHOD |
| AGENT ATTORNEY FIRST NAME | Kaushik |
| AGENT ATTORNEY ADDRESS1 | P.O Box 4313 |
| AGENT ATTORNEY CITY | El Dorado Hills |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 95762 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19166133553 |
| AGENT ATTORNEY EMAIL ADDRESS | kaushik@ranchodlaw.com |
| LAWFIRM NAME BUSINESS NAME | Ranchod Law Group PC |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | California Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 243 Georgia Street |
| WORKSITE ADDRESS2 | Suite B |
| LCA CASE WORKLOC1 CITY | Vallejo |
| WORKSITE COUNTY | SOLANO |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 94590 |
| LCA CASE WAGE RATE FROM | 86.53 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 86.53 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business and Employment |
| PREPARER LAST NAME | Arango |
| PREPARER FIRST NAME | Erika |
| PREPARER MIDDLE INITIAL | G. |
| PREPARER BUSINESS NAME | Ranchod Law Group, PC |
| PREPARER EMAIL | erikaarango@rachodlaw.com |
