| LCA CASE NUMBER | I-200-21197-466753 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-07-16 |
| DECISION DATE | 2021-07-23 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Internal Medicine Physician |
| SOC CODE | 29-1063.00 |
| SOC TITLE | Internists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-09-10 |
| END DATE | 2024-09-09 |
| 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 | The Wahiawa Center for Community Health |
| EMPLOYER ADDRESS1 | 302 California Avenue |
| EMPLOYER ADDRESS2 | Suite 106 |
| EMPLOYER CITY | Wahiawa |
| EMPLOYER STATE | HI |
| EMPLOYER POSTAL CODE | 96786 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18083434509 |
| NAICS CODE | 621498 |
| EMPLOYER POC LAST NAME | Harbin |
| EMPLOYER POC FIRST NAME | Beverly |
| EMPLOYER POC JOB TITLE | Chief Executive Officer |
| EMPLOYER POC ADDRESS1 | 302 California Avenue |
| EMPLOYER POC ADDRESS2 | Suite 106 |
| EMPLOYER POC CITY | Wahiawa |
| EMPLOYER POC STATE | HI |
| EMPLOYER POC POSTAL CODE | 96782 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18086221618 |
| EMPLOYER POC EMAIL | bharbin@wahiawahealth.com |
| 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 | 302 California Avenue |
| WORKSITE ADDRESS2 | Suite 106 |
| LCA CASE WORKLOC1 CITY | Wahiawa |
| WORKSITE COUNTY | HONOLULU |
| LCA CASE WORKLOC1 STATE | HI |
| WORKSITE POSTAL CODE | 96786 |
| LCA CASE WAGE RATE FROM | 208000 |
| LCA CASE WAGE RATE TO | 225000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 208000 |
| PW UNIT OF PAY | Year |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H-1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
