| LCA CASE NUMBER | I-200-21364-792648 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-12-29 |
| DECISION DATE | 2022-01-06 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Associate Physician |
| SOC CODE | 29-1064.00 |
| SOC TITLE | Obstetricians and Gynecologists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-05-02 |
| END DATE | 2025-05-01 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | The Permanente Medical Group |
| EMPLOYER ADDRESS1 | 4601 Dale Road |
| EMPLOYER CITY | Modesto |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 95356 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12097354133 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | D'Souza |
| EMPLOYER POC FIRST NAME | Kelly |
| EMPLOYER POC MIDDLE NAME | M |
| EMPLOYER POC JOB TITLE | Physician HR Leader, Central Valley |
| EMPLOYER POC ADDRESS1 | 4601 Dale Road. |
| EMPLOYER POC CITY | Modesto |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 95356 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12097354133 |
| EMPLOYER POC EMAIL | Kelly.M.D'Souza@kp.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Exner |
| AGENT ATTORNEY FIRST NAME | John |
| AGENT ATTORNEY MIDDLE NAME | E |
| AGENT ATTORNEY ADDRESS1 | 725 South Figueroa Street |
| AGENT ATTORNEY ADDRESS2 | Suite 2500 |
| AGENT ATTORNEY CITY | Los Angeles |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 90017 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12133373837 |
| AGENT ATTORNEY EMAIL ADDRESS | john.exner@jacksonlewis.com |
| LAWFIRM NAME BUSINESS NAME | Jackson Lewis P.C. |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | California Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 4601 Dale Road |
| LCA CASE WORKLOC1 CITY | Modesto |
| WORKSITE COUNTY | STANISLAUS |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 95356 |
| LCA CASE WAGE RATE FROM | 304000 |
| LCA CASE WAGE RATE TO | 314000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 208000 |
| PW UNIT OF PAY | Year |
| 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 |
| PREPARER LAST NAME | Exner IV |
| PREPARER FIRST NAME | John |
| PREPARER MIDDLE INITIAL | E. |
| PREPARER BUSINESS NAME | Jackson Lewis P.C. |
| PREPARER EMAIL | John.Exner@JacksonLewis.com |
