| LCA CASE NUMBER | I-200-21078-162173 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-03-19 |
| DECISION DATE | 2021-03-26 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Hospitalist & Infectious Disease Physician |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-07-12 |
| END DATE | 2024-07-11 |
| 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 | Annadel Medical Group, Inc. |
| EMPLOYER ADDRESS1 | 500 Doyle Park Drive |
| EMPLOYER ADDRESS2 | Suite 100 |
| EMPLOYER CITY | Santa Rosa |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 95405 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17073038360 |
| NAICS CODE | 6211 |
| EMPLOYER POC LAST NAME | Currie |
| EMPLOYER POC FIRST NAME | Jeannette |
| EMPLOYER POC MIDDLE NAME | B. |
| EMPLOYER POC JOB TITLE | President |
| EMPLOYER POC ADDRESS 1 | 185 Sotoyome Street |
| EMPLOYER POC CITY | Santa Rosa |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 95405 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17073038360 |
| EMPLOYER POC EMAIL | Ellen.Layher@stjoe.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Salter |
| AGENT ATTORNEY FIRST NAME | Michelle |
| AGENT ATTORNEY MIDDLE NAME | Luzentales |
| AGENT ATTORNEY ADDRESS1 | 920 Fifth Avenue |
| AGENT ATTORNEY ADDRESS2 | Suite 3300 |
| AGENT ATTORNEY CITY | Seattle |
| AGENT ATTORNEY STATE | WA |
| AGENT ATTORNEY POSTAL CODE | 98104 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12067578342 |
| AGENT ATTORNEY EMAIL ADDRESS | michellesalter@dwt.com |
| LAWFIRM NAME BUSINESS NAME | Davis Wright Tremaine LLP |
| STATE OF HIGHEST COURT | WA |
| NAME OF HIGHEST STATE COURT | Washington Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | Petaluma Valley Hospital |
| WORKSITE ADDRESS1 | 400 N McDowell Blvd |
| LCA CASE WORKLOC1 CITY | Petaluma |
| WORKSITE COUNTY | SONOMA |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 94954 |
| LCA CASE WAGE RATE FROM | 107.36 |
| LCA CASE WAGE RATE TO | 135 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 86.33 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | II |
| 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 |
