| LCA CASE NUMBER | I-200-21120-276830 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-04-30 |
| DECISION DATE | 2021-05-07 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Medical Doctor |
| SOC CODE | 29-1062.00 |
| SOC TITLE | Family and General Practitioners |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-07-01 |
| END DATE | 2024-06-30 |
| 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 | Foundation Physicians Medical Group, Inc. |
| EMPLOYER ADDRESS1 | 3132 W. March Lane |
| EMPLOYER CITY | Stockton |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 95219 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12095643715 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Lopez |
| EMPLOYER POC FIRST NAME | Victtor |
| EMPLOYER POC JOB TITLE | Director of Operations, Stockton |
| EMPLOYER POC ADDRESS 1 | 3132 W. March Lane |
| EMPLOYER POC CITY | Stockton |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 95219 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12096959175 |
| EMPLOYER POC EMAIL | victtor.lopez@dignityhealth.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Leung |
| AGENT ATTORNEY FIRST NAME | Jared |
| AGENT ATTORNEY MIDDLE NAME | C |
| AGENT ATTORNEY ADDRESS1 | 3200 N. Hayden Road |
| AGENT ATTORNEY ADDRESS2 | Ste 320 |
| AGENT ATTORNEY CITY | Scottsdale |
| AGENT ATTORNEY STATE | AZ |
| AGENT ATTORNEY POSTAL CODE | 85251 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16026759486 |
| AGENT ATTORNEY EMAIL ADDRESS | jleung@jclimmigration.com |
| LAWFIRM NAME BUSINESS NAME | JCL Immigration Attorneys, PLLC |
| STATE OF HIGHEST COURT | AZ |
|
| NAME OF HIGHEST STATE COURT | Arizona Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 3132 W. March Lane |
| LCA CASE WORKLOC1 CITY | Stockton |
| WORKSITE COUNTY | SAN JOAQUIN |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 95219 |
| LCA CASE WAGE RATE FROM | 250000 |
| LCA CASE WAGE RATE TO | 270000 |
| 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 | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Frausto |
| PREPARER FIRST NAME | Lorenzo |
| PREPARER MIDDLE INITIAL | G |
| PREPARER BUSINESS NAME | JCL Immigration Attorneys, PLLC |
| PREPARER EMAIL | lfrausto@jclimmigration.com |
