| LCA CASE NUMBER | I-200-21061-113031 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2021-03-02 |
| DECISION DATE | 2021-04-14 |
| ORIGINAL CERT DATE | 2021-03-09 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Associate Director - Adult Medicine |
| SOC CODE | 29-1062.00 |
| SOC TITLE | Family and General Practitioners |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-06-27 |
| END DATE | 2024-06-26 |
| 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 | Tiburcio Vasquez Health Center, Inc. |
| EMPLOYER ADDRESS1 | 22331 Mission Blvd |
| EMPLOYER CITY | Hayward |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 94541 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15104715907 |
| EMPLOYER PHONE EXT | 3146 |
| NAICS CODE | 621491 |
| EMPLOYER POC LAST NAME | Valdez |
| EMPLOYER POC FIRST NAME | Gabriela |
| EMPLOYER POC JOB TITLE | Senior HR Manager |
| EMPLOYER POC ADDRESS 1 | 22331 Mission Blvd |
| EMPLOYER POC CITY | Hayward |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 94541 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15104715907 |
| EMPLOYER POC PHONE EXT | 3146 |
| EMPLOYER POC EMAIL | gvaldez@tvhc.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Wloszek |
| AGENT ATTORNEY FIRST NAME | Mary Ann |
| AGENT ATTORNEY ADDRESS1 | 351 California Street |
| AGENT ATTORNEY CITY | San Francisco |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 94104 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14153572095 |
| AGENT ATTORNEY EMAIL ADDRESS | mawloszek@cornerlaw.com |
| LAWFIRM NAME BUSINESS NAME | Cornerstone Law Group |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 22331 Mission Blvd |
| LCA CASE WORKLOC1 CITY | Hayward |
| WORKSITE COUNTY | ALAMEDA |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 94541 |
| LCA CASE WAGE RATE FROM | 227011 |
| LCA CASE WAGE RATE TO | 240000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 227011 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Wloszek |
| PREPARER FIRST NAME | Mary Ann |
| PREPARER BUSINESS NAME | Cornerstone Law Group |
| PREPARER EMAIL | mawloszek@cornerlaw.com |
