| LCA CASE NUMBER | I-200-23081-870823 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-03-22 |
| DECISION DATE | 2023-03-29 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Registered Nurse |
| SOC CODE | 29-1141.00 |
| SOC TITLE | Registered Nurses |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-08-01 |
| END DATE | 2024-07-31 |
| 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 | Jay Pennock, MD a professional corporation |
| TRADE NAME DBA | REJUVENATE MEDI-SPA & Wellness |
| EMPLOYER ADDRESS1 | 1595 38th Ave |
| EMPLOYER CITY | Capitola |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 95010 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18312262108 |
| NAICS CODE | 62199 |
| EMPLOYER POC LAST NAME | Pennock |
| EMPLOYER POC FIRST NAME | Jay |
| EMPLOYER POC JOB TITLE | Owner |
| EMPLOYER POC ADDRESS1 | 1840 41st Ave |
| EMPLOYER POC ADDRESS2 | Suite 102-325 |
| EMPLOYER POC CITY | Capitola |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 95010 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18313450652 |
| EMPLOYER POC EMAIL | drjayp@mac.com |
| AGENT REPRESENTING EMPLOYER | False |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1595 38th Ave |
| LCA CASE WORKLOC1 CITY | Capitola |
| WORKSITE COUNTY | SANTA CRUZ |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 95010 |
| LCA CASE WAGE RATE FROM | 5000 |
| LCA CASE WAGE RATE TO | 10000 |
| LCA CASE WAGE RATE UNIT | Month |
| PREVAILING WAGE | 1256.67 |
| PW UNIT OF PAY | Month |
| PW OTHER SOURCE | SCA |
| PW OTHER YEAR | 2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
