| LCA CASE NUMBER | I-200-21298-665532 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-10-25 |
| DECISION DATE | 2021-11-01 |
| 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 | 2021-11-01 |
| END DATE | 2023-06-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| LCA CASE EMPLOYER NAME | COMMUNITY HEALTH CENTERS OF THE CENTRAL COAST, INC. |
| TRADE NAME DBA | CHC of the Central Coast Inc. |
| EMPLOYER ADDRESS1 | 150 Tejas Place |
| EMPLOYER CITY | Nipomo |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 93444 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18053463908 |
| NAICS CODE | 621498 |
| EMPLOYER POC LAST NAME | Sosa |
| EMPLOYER POC FIRST NAME | Sophia |
| EMPLOYER POC JOB TITLE | Deputy CEI |
| EMPLOYER POC ADDRESS1 | 150 Tejas Place |
| EMPLOYER POC CITY | Nipomo |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 93444 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18053463908 |
| EMPLOYER POC EMAIL | SSOSA@CHCCC.ORG |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Chary |
| AGENT ATTORNEY FIRST NAME | Siddharth |
| AGENT ATTORNEY MIDDLE NAME | S |
| AGENT ATTORNEY ADDRESS1 | 175 Kent Ave. |
| AGENT ATTORNEY ADDRESS2 | #416 |
| AGENT ATTORNEY CITY | Brooklyn |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 11249 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12129608365 |
| AGENT ATTORNEY EMAIL ADDRESS | sid@charylaw.com |
| LAWFIRM NAME BUSINESS NAME | Chary Law P.C. |
|
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Court of Appeals |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 2800 Riverside Drive |
| LCA CASE WORKLOC1 CITY | Paso Robles |
| WORKSITE COUNTY | SAN LUIS OBISPO |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 93444 |
| LCA CASE WAGE RATE FROM | 200000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 160222 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
