| LCA CASE NUMBER | I-200-21230-530281 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-08-18 |
| DECISION DATE | 2021-08-25 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Primary Care Physician |
| SOC CODE | 29-1062.00 |
| SOC TITLE | Family and General Practitioners |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-10-29 |
| END DATE | 2024-10-28 |
| 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 | Clara Medical Group PC |
| EMPLOYER ADDRESS1 | 660 4th Street |
| EMPLOYER ADDRESS2 | Suite 202 |
| EMPLOYER CITY | San Francisco |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 94107 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | CA |
| EMPLOYER PHONE | 18333346393 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Toyama |
| EMPLOYER POC FIRST NAME | Carissa |
| EMPLOYER POC JOB TITLE | People Programs & HR Ops |
| EMPLOYER POC ADDRESS1 | 550 Kearny Street |
| EMPLOYER POC ADDRESS2 | Suite 600 |
| EMPLOYER POC CITY | San Francisco |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 94108 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18333346393 |
| EMPLOYER POC EMAIL | peopleops@goforward.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Lee |
| AGENT ATTORNEY FIRST NAME | Olivia |
| AGENT ATTORNEY MIDDLE NAME | Serene |
| AGENT ATTORNEY ADDRESS1 | 360 Post Street |
| AGENT ATTORNEY ADDRESS2 | 8th Floor |
| AGENT ATTORNEY CITY | San Francisco |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 94108 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14157889000 |
| AGENT ATTORNEY PHONE EXT | 107 |
| AGENT ATTORNEY EMAIL ADDRESS | kchan@minamitamaki.com |
| LAWFIRM NAME BUSINESS NAME | Minami Tamaki LLP |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 555 Madison Avenue, Suite 101 |
| LCA CASE WORKLOC1 CITY | New York |
| WORKSITE COUNTY | NEW YORK |
| LCA CASE WORKLOC1 STATE | NY |
| WORKSITE POSTAL CODE | 10022 |
| LCA CASE WAGE RATE FROM | 222500 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 207459 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| 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 |
