| LCA CASE NUMBER | I-200-21207-484036 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-07-26 |
| DECISION DATE | 2021-08-02 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Pediatrician |
| SOC CODE | 29-1065.00 |
| SOC TITLE | Pediatricians, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-08-16 |
| END DATE | 2024-08-15 |
| 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 | SAN BENITO HEALTH FOUNDATION |
| EMPLOYER ADDRESS1 | 351 FELICE DRIVE |
| EMPLOYER CITY | HOLLISTER |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 95023 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18316375783 |
| NAICS CODE | 621498 |
| EMPLOYER POC LAST NAME | FERNANDEZ |
| EMPLOYER POC FIRST NAME | ROSA VIVIAN |
| EMPLOYER POC JOB TITLE | PRESIDENT & CEO |
| EMPLOYER POC ADDRESS1 | 351 FELICE DRIVE |
| EMPLOYER POC CITY | HOLLISTER |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 95023 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18316375783 |
| EMPLOYER POC EMAIL | RVFERNANDEZ@SANBENITOHEALTH.ORG |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | AYOUB |
| AGENT ATTORNEY FIRST NAME | ELSA |
| AGENT ATTORNEY ADDRESS1 | 230 PARK AVENUE, 3RD FLOOR WEST |
| AGENT ATTORNEY CITY | NEW YORK |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10169 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12122352351 |
| AGENT ATTORNEY EMAIL ADDRESS | ELSA@AYOUBLAW.US |
| LAWFIRM NAME BUSINESS NAME | THE LAW OFFICES OF ELSA AYOUB PLLC |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | NEW YORK STATE COURT OF APPEALS |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 351 Felice Drive |
| LCA CASE WORKLOC1 CITY | Hollister |
| WORKSITE COUNTY | SAN BENITO |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 95023 |
| LCA CASE WAGE RATE FROM | 183650 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 162843 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| 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 |
| PREPARER LAST NAME | Ayoub |
| PREPARER FIRST NAME | Elsa |
| PREPARER BUSINESS NAME | The Law Offices of Elsa Ayoub PLLC |
| PREPARER EMAIL | elsa@ayoublaw.us |
