| LCA CASE NUMBER | I-200-21349-766429 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-12-15 |
| DECISION DATE | 2021-12-22 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Family Practice Physician |
| SOC CODE | 29-1062.00 |
| SOC TITLE | Family and General Practitioners |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-02-01 |
| END DATE | 2025-01-31 |
| 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 | Indian Health Center of Santa Clara Valley |
| EMPLOYER ADDRESS1 | 1333 Meridian Ave. |
| EMPLOYER CITY | San Jose |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 95125 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14084453400 |
| NAICS CODE | 621112 |
| EMPLOYER POC LAST NAME | Acupido |
| EMPLOYER POC FIRST NAME | Roland |
| EMPLOYER POC JOB TITLE | Human Resources Director |
| EMPLOYER POC ADDRESS1 | 1211 Meridian Ave. |
| EMPLOYER POC CITY | San Jose |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 95125 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14084453400 |
| EMPLOYER POC PHONE EXT | 3076 |
| EMPLOYER POC EMAIL | racupido@ihcscv.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Cortez |
| AGENT ATTORNEY FIRST NAME | Priscilla |
| AGENT ATTORNEY MIDDLE NAME | Jane |
| AGENT ATTORNEY ADDRESS1 | P.O. Box 482 |
| AGENT ATTORNEY CITY | Mount Aukum |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 95656 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 15306207114 |
| AGENT ATTORNEY EMAIL ADDRESS | pj@visasbycortez.com |
| LAWFIRM NAME BUSINESS NAME | Law Offices of Priscilla J. Cortez |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1333 Meridian Ave. |
| LCA CASE WORKLOC1 CITY | San Jose |
| WORKSITE COUNTY | SANTA CLARA |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 95125 |
| LCA CASE WAGE RATE FROM | 213657 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 177258 |
| 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 |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
