| LCA CASE NUMBER | I-200-21104-224796 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2021-04-14 |
| DECISION DATE | 2021-04-27 |
| ORIGINAL CERT DATE | 2021-04-21 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Medical Resident |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-09-01 |
| END DATE | 2023-08-31 |
| 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 | The Pennsylvania Hospital of the University of Pennsylvania Health System |
| TRADE NAME DBA | Pennsylvania Hospital |
| EMPLOYER ADDRESS1 | 800 Spruce Street |
| EMPLOYER CITY | PHILADELPHIA |
| EMPLOYER STATE | PA |
| EMPLOYER POSTAL CODE | 19107 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12158984661 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Roholt |
| EMPLOYER POC FIRST NAME | Huan |
| EMPLOYER POC MIDDLE NAME | Yang |
| EMPLOYER POC JOB TITLE | International Student and Scholar Advisor |
| EMPLOYER POC ADDRESS 1 | 3701 Chestnut St. Suite 1W |
| EMPLOYER POC CITY | Philadelphia |
| EMPLOYER POC STATE | PA |
| EMPLOYER POC POSTAL CODE | 19104 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12158981648 |
| EMPLOYER POC EMAIL | hroholt@upenn.edu |
| AGENT REPRESENTING EMPLOYER | False |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 800 Spruce Street |
| LCA CASE WORKLOC1 CITY | Philadelphia |
| WORKSITE COUNTY | PHILADELPHIA |
| LCA CASE WORKLOC1 STATE | PA |
| WORKSITE POSTAL CODE | 19107 |
| LCA CASE WAGE RATE FROM | 62858 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 62858 |
| PW UNIT OF PAY | Year |
| PW OTHER SOURCE | Survey |
| PW OTHER YEAR | 2020 |
| PW SURVEY PUBLISHER | Association of American Medical Colleges |
| PW SURVEY NAME | 2020 Survey of Resident/Fellow Stipends and Benefits |
| TOTAL WORKSITE LOCATIONS | 3 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
