| LCA CASE NUMBER | I-200-21111-244873 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-04-21 |
| DECISION DATE | 2021-04-28 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician |
| SOC CODE | 29-1062.00 |
| SOC TITLE | Family and General Practitioners |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-04-22 |
| END DATE | 2024-04-18 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| LCA CASE EMPLOYER NAME | Central California Faculty Medical Group |
| EMPLOYER ADDRESS1 | 2625 E. Divisadero Street |
| EMPLOYER CITY | Fresno |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 93721 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15592565148 |
| NAICS CODE | 813910 |
| EMPLOYER POC LAST NAME | Sagherian |
| EMPLOYER POC FIRST NAME | Stephanie |
| EMPLOYER POC JOB TITLE | Provider Recruitment Specialist |
| EMPLOYER POC ADDRESS 1 | 2625 East Divisadero Street |
| EMPLOYER POC CITY | Fresno |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 93721 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15592565148 |
| EMPLOYER POC EMAIL | Stephanie.Sagherian@ccfmg.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Galeano |
| AGENT ATTORNEY FIRST NAME | Hector |
| AGENT ATTORNEY MIDDLE NAME | Rene |
| AGENT ATTORNEY ADDRESS1 | 333 SE 2nd Ave |
| AGENT ATTORNEY ADDRESS2 | Ste 2700 |
| AGENT ATTORNEY CITY | Miami |
| AGENT ATTORNEY STATE | FL |
| AGENT ATTORNEY POSTAL CODE | 33131 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13054007548 |
| AGENT ATTORNEY EMAIL ADDRESS | hgaleano@littler.com |
| LAWFIRM NAME BUSINESS NAME | Littler Mendelson, P.C. |
| STATE OF HIGHEST COURT | FL |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 290 N. Wayte Lane |
| LCA CASE WORKLOC1 CITY | Fresno |
| WORKSITE COUNTY | FRESNO |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 93701 |
| LCA CASE WAGE RATE FROM | 220000 |
| LCA CASE WAGE RATE TO | 230000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 208000 |
| PW UNIT OF PAY | Year |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 3 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Galeano |
| PREPARER FIRST NAME | Hector |
| PREPARER MIDDLE INITIAL | R |
| PREPARER BUSINESS NAME | Littler Mendelson, P.C. |
| PREPARER EMAIL | hgaleano@littler.com |
