\ H1B CASE NUMBER I-200-25161-076796



CASE NUNBER: I-200-25161-076796

LCA CASE NUMBERI-200-25161-076796
STATUSCertified
LCA CASE SUBMIT2025-06-10
DECISION DATE2025-06-17
VISA CLASSH-1B
LCA CASE JOB TITLEDentist
SOC CODE29-1021
SOC TITLEDentists, General
FULL TIME POSITIONTrue
LCA CASE EMPLOYMENT START DATE2025-10-01
END DATE2028-09-30
TOTAL WORKER POSITIONS1
NEW EMPLOYMENT1
CONTINUED EMPLOYMENT0
CHANGE PREVIOUS EMPLOYMENT0
NEW CONCURRENT EMPLOYMENT0
CHANGE EMPLOYER0
AMENDED PETITION0
LCA CASE EMPLOYER NAMEAmeriDent Health Pro Inc
TRADE NAME DBALA Dental Group
EMPLOYER ADDRESS13130 S Sepulveda Blvd
EMPLOYER ADDRESS2Suite D
EMPLOYER CITYLos Angeles
EMPLOYER STATECA
EMPLOYER POSTAL CODE90034
EMPLOYER COUNTRYUNITED STATES OF AMERICA
EMPLOYER PHONE13102680646
EMPLOYER FEIN45-4464321
NAICS CODE621210
EMPLOYER POC LAST NAMEGinzburg
EMPLOYER POC FIRST NAMEWilliam
EMPLOYER POC JOB TITLEOwner
EMPLOYER POC ADDRESS13130 S Sepulveda Blvd
EMPLOYER POC ADDRESS2Suite D
EMPLOYER POC CITYLos Angeles
EMPLOYER POC STATECA
EMPLOYER POC POSTAL CODE90034
EMPLOYER POC COUNTRYUNITED STATES OF AMERICA
EMPLOYER POC PHONE13102680646
EMPLOYER POC EMAILdrginzburg66@gmail.com
AGENT REPRESENTING EMPLOYERTrue
AGENT ATTORNEY LAST NAMEHwang
AGENT ATTORNEY FIRST NAMEPeter
AGENT ATTORNEY MIDDLE NAMEI.
AGENT ATTORNEY ADDRESS13580 Wilshire Blvd
AGENT ATTORNEY ADDRESS2Suite 521
AGENT ATTORNEY CITYLos Angeles
AGENT ATTORNEY STATECA
AGENT ATTORNEY POSTAL CODE90010
AGENT ATTORNEY COUNTRYUNITED STATES OF AMERICA
AGENT ATTORNEY PHONE12133848602
AGENT ATTORNEY EMAIL ADDRESSphwang@davidkimlaw.com
LAWFIRM NAME BUSINESS NAMEPeter I. Hwang, Esq.
STATE OF HIGHEST COURTCA
NAME OF HIGHEST STATE COURTSupreme Court
WORKSITE WORKERS1
SECONDARY ENTITYFalse
WORKSITE ADDRESS13130 S Sepulveda Blvd
WORKSITE ADDRESS2Suite D
LCA CASE WORKLOC1 CITYLos Angeles
WORKSITE COUNTYLOS ANGELES
LCA CASE WORKLOC1 STATECA
WORKSITE POSTAL CODE90034
LCA CASE WAGE RATE FROM168000
LCA CASE WAGE RATE UNITYear
PREVAILING WAGE164757
PW UNIT OF PAYYear
PW WAGE LEVELIII
PW OES YEAR7/1/2024 - 6/30/2025
TOTAL WORKSITE LOCATIONS2
AGREE TO LC STATEMENTTrue
H 1B DEPENDENTFalse
WILLFUL VIOLATORFalse
PUBLIC DISCLOSUREDisclose Business