| LCA CASE NUMBER | I-200-21109-238989 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-04-19 |
| DECISION DATE | 2021-04-26 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician, Pediatric Intensive Care |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-10-12 |
| END DATE | 2024-10-11 |
| 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 | Kapi'olani Medical Specialists |
| TRADE NAME DBA | Hawai'i Pacific Health Medical Group |
| EMPLOYER ADDRESS1 | 55 Merchant Street |
| EMPLOYER ADDRESS2 | Floor 25 |
| EMPLOYER CITY | Honolulu |
| EMPLOYER STATE | HI |
| EMPLOYER POSTAL CODE | 96813 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18085357451 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Hinson |
| EMPLOYER POC FIRST NAME | Carl |
| EMPLOYER POC MIDDLE NAME | W. |
| EMPLOYER POC JOB TITLE | Director, Workforce Development |
| EMPLOYER POC ADDRESS 1 | 55 Merchant Street |
| EMPLOYER POC ADDRESS 2 | Floor 25 |
| EMPLOYER POC CITY | Honolulu |
| EMPLOYER POC STATE | HI |
| EMPLOYER POC POSTAL CODE | 96813 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18085357566 |
| EMPLOYER POC EMAIL | carl.hinson@hawaiipacifichealth.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Hirota |
| AGENT ATTORNEY FIRST NAME | Maile |
| AGENT ATTORNEY MIDDLE NAME | M. |
| AGENT ATTORNEY ADDRESS1 | 735 Bishop Street |
| AGENT ATTORNEY ADDRESS2 | Suite 402 |
| AGENT ATTORNEY CITY | Honolulu |
| AGENT ATTORNEY STATE | HI |
| AGENT ATTORNEY POSTAL CODE | 96813 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
|
| AGENT ATTORNEY PHONE | 18085879600 |
| AGENT ATTORNEY EMAIL ADDRESS | maile@hirotaimmigration.com |
| LAWFIRM NAME BUSINESS NAME | Hirota & Associates LLLC |
| STATE OF HIGHEST COURT | HI |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1319 Punahou Street |
| LCA CASE WORKLOC1 CITY | Honolulu |
| WORKSITE COUNTY | HONOLULU |
| LCA CASE WORKLOC1 STATE | HI |
| WORKSITE POSTAL CODE | 96826 |
| LCA CASE WAGE RATE FROM | 151674 |
| LCA CASE WAGE RATE TO | 220001.6 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 151674 |
| 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 |
