| LCA CASE NUMBER | I-200-22333-609639 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-11-29 |
| DECISION DATE | 2022-12-06 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | CENTER ADMINISTRATOR |
| SOC CODE | 13-1199.00 |
| SOC TITLE | Business Operations Specialists, All Other |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-12-12 |
| END DATE | 2025-12-11 |
| 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 | Shoreline Surgery Center, LLC |
| TRADE NAME DBA | Shoreline ASC |
| EMPLOYER ADDRESS1 | 4300 Long Beach Blvd. |
| EMPLOYER ADDRESS2 | STE 150 |
| EMPLOYER CITY | Long Beach |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 90806 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19096380407 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | GUEVARA |
| EMPLOYER POC FIRST NAME | ROMULO |
| EMPLOYER POC MIDDLE NAME | E |
| EMPLOYER POC JOB TITLE | ASSISTANT GENERAL COUNSEL - IMMIGRATION |
| EMPLOYER POC ADDRESS1 | 3480 E. GUASTI RD. |
| EMPLOYER POC ADDRESS2 | 2ND FLR |
| EMPLOYER POC CITY | ONTARIO |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 91761 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19096380407 |
| EMPLOYER POC EMAIL | RGUEVARA3@PRIMEHEALTHCARE.COM |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | GUEVARA |
| AGENT ATTORNEY FIRST NAME | ROMULO |
| AGENT ATTORNEY MIDDLE NAME | E |
| AGENT ATTORNEY ADDRESS1 | 3480 E. GUASTI RD. |
| AGENT ATTORNEY ADDRESS2 | 2ND FLR. |
| AGENT ATTORNEY CITY | ONTARIO |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 91761 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19096380407 |
| AGENT ATTORNEY EMAIL ADDRESS | RGUEVARA3@PRIMEHEALTHCARE.COM |
| LAWFIRM NAME BUSINESS NAME | PRIME HEALTHCARE MANAGEMENT, INC. |
| STATE OF HIGHEST COURT | IL |
| NAME OF HIGHEST STATE COURT | SUPREME COURT OF ILLINOIS |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 4300 Long Beach Blvd. |
| WORKSITE ADDRESS2 | STE 150 |
| LCA CASE WORKLOC1 CITY | Long Beach |
| WORKSITE COUNTY | LOS ANGELES |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 90806 |
| LCA CASE WAGE RATE FROM | 37.26 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 37.26 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
