| LCA CASE NUMBER | I-200-23046-778076 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-02-15 |
| DECISION DATE | 2023-02-22 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Family Medicine Physician |
| SOC CODE | 29-1215.00 |
| SOC TITLE | Family Medicine Physicians |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-07-20 |
| END DATE | 2026-07-19 |
| 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 | Healthcare Partners Medical Group, PC |
| EMPLOYER ADDRESS1 | 2175 Park Place |
| EMPLOYER CITY | El Segundo |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 90245 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19529361616 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | McDonnell, Priebe |
| EMPLOYER POC FIRST NAME | Ciaran, Jennifer |
| EMPLOYER POC JOB TITLE | IMMIGRATION TEAM LEADERS |
| EMPLOYER POC ADDRESS1 | 9900 Bren Road East |
| EMPLOYER POC CITY | Minnetonka |
| EMPLOYER POC STATE | MN |
| EMPLOYER POC POSTAL CODE | 55343 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19529361616 |
| EMPLOYER POC EMAIL | ciaran_mcdonnell@uhg.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Thomas |
| AGENT ATTORNEY FIRST NAME | Anitta |
| AGENT ATTORNEY ADDRESS1 | 2400 N Glenville Dr.n Building A |
| AGENT ATTORNEY ADDRESS2 | Suite 100 |
| AGENT ATTORNEY CITY | Richardson |
| AGENT ATTORNEY STATE | TX |
| AGENT ATTORNEY POSTAL CODE | 75080 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14692909394 |
| AGENT ATTORNEY EMAIL ADDRESS | jocastellanos@bal.com |
| LAWFIRM NAME BUSINESS NAME | Berry Appleman & Leiden |
| STATE OF HIGHEST COURT | TX |
| NAME OF HIGHEST STATE COURT | Supreme Court of Texas |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1120 W Washington |
| LCA CASE WORKLOC1 CITY | Los Angeles |
| WORKSITE COUNTY | LOS ANGELES |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 90015 |
| LCA CASE WAGE RATE FROM | 208000 |
| LCA CASE WAGE RATE TO | 267911 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 208000 |
| PW UNIT OF PAY | Year |
| 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 |
| PREPARER LAST NAME | Castellanos |
| PREPARER FIRST NAME | Jose |
| PREPARER MIDDLE INITIAL | A |
| PREPARER BUSINESS NAME | Berry Appleman & Leiden LLP |
| PREPARER EMAIL | jocastellanos@BAL.com |
