| LCA CASE NUMBER | I-200-21160-384487 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-06-09 |
| DECISION DATE | 2021-06-16 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-10-01 |
| END DATE | 2024-09-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Barkhordar Dental Inc. |
| TRADE NAME DBA | El Segundo Modern Dentistry |
| EMPLOYER ADDRESS1 | 12100 Wilshire Blvd. |
| EMPLOYER CITY | Los Angeles |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 90025 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15626000941 |
| NAICS CODE | 62121 |
| EMPLOYER POC LAST NAME | Barkhordar |
| EMPLOYER POC FIRST NAME | Omid |
| EMPLOYER POC JOB TITLE | President |
| EMPLOYER POC ADDRESS 1 | 16461 Whittier Blvd |
| EMPLOYER POC CITY | Whittier |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 90603 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18186241601 |
| EMPLOYER POC EMAIL | obarkhor@gmail.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | SMITH |
| AGENT ATTORNEY FIRST NAME | Donald |
| AGENT ATTORNEY MIDDLE NAME | Edward |
| AGENT ATTORNEY ADDRESS1 | 1435 Huntington Avenue |
| AGENT ATTORNEY ADDRESS2 | Suite 336 |
| AGENT ATTORNEY CITY | South San Francisco |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 94080 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16505887100 |
| AGENT ATTORNEY EMAIL ADDRESS | jdiego@litwinsmith.com |
| LAWFIRM NAME BUSINESS NAME | LITWIN & SMITH, A Law Corporation |
| STATE OF HIGHEST COURT | FL |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 310 East Grand Ave |
| WORKSITE ADDRESS2 | Suite 102 |
| LCA CASE WORKLOC1 CITY | El Segundo |
| WORKSITE COUNTY | LOS ANGELES |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 90245 |
| LCA CASE WAGE RATE FROM | 112798 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 112798 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| 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 | Diego |
| PREPARER FIRST NAME | Jessica |
| PREPARER MIDDLE INITIAL | D |
| PREPARER BUSINESS NAME | Litwin & Smith, A Law Corporation |
| PREPARER EMAIL | jdiego@litwinsmith.com |
