| LCA CASE NUMBER | I-200-21180-431428 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-06-29 |
| DECISION DATE | 2021-07-07 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Family and General Practitioner |
| SOC CODE | 29-1062.00 |
| SOC TITLE | Family and General Practitioners |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-07-15 |
| END DATE | 2024-07-14 |
| 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 | Waimanalo Health Center |
| EMPLOYER ADDRESS1 | 41-1347 Kalanianaole Hwy |
| EMPLOYER CITY | Waimanalo |
| EMPLOYER STATE | HI |
| EMPLOYER POSTAL CODE | 96795 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18082597948 |
| NAICS CODE | 621498 |
| EMPLOYER POC LAST NAME | Lee |
| EMPLOYER POC FIRST NAME | Christina |
| EMPLOYER POC MIDDLE NAME | Kealoha |
| EMPLOYER POC JOB TITLE | Chief Medical Officer |
| EMPLOYER POC ADDRESS1 | 41-1347 Kalanianaole Hwy |
| EMPLOYER POC CITY | Waimanalo |
| EMPLOYER POC STATE | HI |
| EMPLOYER POC POSTAL CODE | 96795 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18082597948 |
| EMPLOYER POC EMAIL | clee@waimanalohealth.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Takeno |
| AGENT ATTORNEY FIRST NAME | Daryl |
| AGENT ATTORNEY MIDDLE NAME | Shinji |
| AGENT ATTORNEY ADDRESS1 | 1888 Kalakaua Avenue |
| AGENT ATTORNEY ADDRESS2 | Ste C312 |
| AGENT ATTORNEY CITY | Honolulu |
| AGENT ATTORNEY STATE | HI |
| AGENT ATTORNEY POSTAL CODE | 96815 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18086953560 |
| AGENT ATTORNEY EMAIL ADDRESS | dtakeno@migrationcounsel.com |
| LAWFIRM NAME BUSINESS NAME | Migration Counsel LLLC |
| STATE OF HIGHEST COURT | HI |
| NAME OF HIGHEST STATE COURT | HAWAII SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 41-1347 Kalanialaole Highway |
| LCA CASE WORKLOC1 CITY | Waimanalo |
| WORKSITE COUNTY | HONOLULU |
| LCA CASE WORKLOC1 STATE | HI |
| WORKSITE POSTAL CODE | 96795 |
| LCA CASE WAGE RATE FROM | 166260 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 153440 |
| PW UNIT OF PAY | Year |
| PW OTHER SOURCE | Survey |
| PW OTHER YEAR | 2020 |
| PW SURVEY PUBLISHER | Medical Group Management Association |
| PW SURVEY NAME | Provider Compensation Report |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H-1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
