| LCA CASE NUMBER | I-200-21104-225155 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-04-14 |
| DECISION DATE | 2021-04-21 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Hospitalist Physician |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-06-30 |
| END DATE | 2024-06-29 |
| 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 | 24 ON Physicians of California, PC |
| EMPLOYER ADDRESS1 | 318 Maxwell Road |
| EMPLOYER ADDRESS2 | Suite 500 |
| EMPLOYER CITY | Alpharetta |
| EMPLOYER STATE | GA |
| EMPLOYER POSTAL CODE | 30009 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17707400895 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Fuller |
| EMPLOYER POC FIRST NAME | Dan |
| EMPLOYER POC JOB TITLE | Secretary |
| EMPLOYER POC ADDRESS 1 | 318 Maxwell Road |
| EMPLOYER POC ADDRESS 2 | Suite 500 |
| EMPLOYER POC CITY | Alpharetta |
| EMPLOYER POC STATE | GA |
| EMPLOYER POC POSTAL CODE | 30009 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17707400895 |
| EMPLOYER POC EMAIL | dfuller@incompasshealth.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Yarbrough |
| AGENT ATTORNEY FIRST NAME | Cynthia |
| AGENT ATTORNEY MIDDLE NAME | Jean |
| AGENT ATTORNEY ADDRESS1 | 1075 Peachtree Street NE |
| AGENT ATTORNEY ADDRESS2 | Suite 3500 |
| AGENT ATTORNEY CITY | Atlanta |
| AGENT ATTORNEY STATE | GA |
| AGENT ATTORNEY POSTAL CODE | 30309 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14042405845 |
| AGENT ATTORNEY EMAIL ADDRESS | cyarbrough@fisherphillips.com |
|
| LAWFIRM NAME BUSINESS NAME | Fisher & Phillips LLP |
| STATE OF HIGHEST COURT | GA |
| NAME OF HIGHEST STATE COURT | Georgia Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | El Centro Regional Medical Center |
| WORKSITE ADDRESS1 | 1415 Ross Avenue |
| LCA CASE WORKLOC1 CITY | El Centro |
| WORKSITE COUNTY | IMPERIAL |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 92243 |
| LCA CASE WAGE RATE FROM | 316000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 253968 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| 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 |
