| LCA CASE NUMBER | I-200-23026-730504 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-01-26 |
| DECISION DATE | 2023-02-02 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician |
| SOC CODE | 29-1215.00 |
| SOC TITLE | Family Medicine Physicians |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-07-01 |
| END DATE | 2026-06-30 |
| 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 | Kokua Kalihi Valley Comprehensive Family Services |
| EMPLOYER ADDRESS1 | 2239 North School Street |
| EMPLOYER CITY | Honolulu |
| EMPLOYER STATE | HI |
| EMPLOYER POSTAL CODE | 96819 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18087919400 |
| NAICS CODE | 621498 |
| EMPLOYER POC LAST NAME | Derauf |
| EMPLOYER POC FIRST NAME | David |
| EMPLOYER POC MIDDLE NAME | D. |
| EMPLOYER POC JOB TITLE | Executive Director |
| EMPLOYER POC ADDRESS1 | 2239 North School Street |
| EMPLOYER POC CITY | Honolulu |
| EMPLOYER POC STATE | HI |
| EMPLOYER POC POSTAL CODE | 96819 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18087919400 |
| EMPLOYER POC EMAIL | david@kkv.net |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Hirota |
| AGENT ATTORNEY FIRST NAME | Maile |
| AGENT ATTORNEY MIDDLE NAME | M. |
| AGENT ATTORNEY ADDRESS1 | 735 Bishop Street |
| AGENT ATTORNEY ADDRESS2 | Suite 402 |
| AGENT ATTORNEY CITY | Honolulu |
| AGENT ATTORNEY STATE | HI |
| AGENT ATTORNEY POSTAL CODE | 96813 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18085879600 |
| AGENT ATTORNEY EMAIL ADDRESS | maile@hirotaimmigration.com |
| LAWFIRM NAME BUSINESS NAME | Hirota & Associates LLLC |
| STATE OF HIGHEST COURT | HI |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 2239 North School Street |
| LCA CASE WORKLOC1 CITY | Honolulu |
| WORKSITE COUNTY | HONOLULU |
| LCA CASE WORKLOC1 STATE | HI |
| WORKSITE POSTAL CODE | 96819 |
| LCA CASE WAGE RATE FROM | 102253 |
| LCA CASE WAGE RATE TO | 162323 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 102253 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
