| LCA CASE NUMBER | I-200-21239-551593 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-08-27 |
| DECISION DATE | 2021-09-03 |
| 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 | 2021-09-30 |
| END DATE | 2022-09-30 |
| 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 | H. Reza, A Dental Corporation |
| TRADE NAME DBA | Hamlin Dental Group |
| EMPLOYER ADDRESS1 | 8540 Reseda Blvd |
| EMPLOYER ADDRESS2 | Suite 101 |
| EMPLOYER CITY | Northridge |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 91324 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18187016667 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Reza |
| EMPLOYER POC FIRST NAME | Hamid |
| EMPLOYER POC JOB TITLE | President |
| EMPLOYER POC ADDRESS1 | 8540 Reseda Blvd |
| EMPLOYER POC ADDRESS2 | Suite 101 |
| EMPLOYER POC CITY | Northdridge |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 91324 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18187016667 |
| EMPLOYER POC EMAIL | bahal2@hotmail.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Khoshvaght Gigasari |
| AGENT ATTORNEY FIRST NAME | Mojgan |
| AGENT ATTORNEY ADDRESS1 | 811 Wilshire Blvd |
| AGENT ATTORNEY ADDRESS2 | Suite 1700 pmb 167 |
| AGENT ATTORNEY CITY | Los Angeles |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 90017 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14244027053 |
| AGENT ATTORNEY PHONE EXT | 700 |
| AGENT ATTORNEY EMAIL ADDRESS | info@khoshvaghtlaw.com |
| LAWFIRM NAME BUSINESS NAME | Law office of Mojgan Khoshvaght Gigasari |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court of California |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 8540 Reseda Blvd. |
| WORKSITE ADDRESS2 | Suite 101 |
| LCA CASE WORKLOC1 CITY | Northridge |
| WORKSITE COUNTY | LOS ANGELES |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 91324 |
| LCA CASE WAGE RATE FROM | 156000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 137010 |
| 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 |
| PREPARER LAST NAME | Khoshvaght Gigasari |
| PREPARER FIRST NAME | Mojgan |
| PREPARER BUSINESS NAME | Law office of Mojgan Khoshvaght Gigasari |
| PREPARER EMAIL | info@khoshvaghtlaw.com |
