| LCA CASE NUMBER | I-200-18172-654876 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 6/21/18 |
| DECISION DATE | 6/27/18 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 8/1/18 |
| EMPLOYMENT END DATE | 8/1/21 |
| LCA CASE EMPLOYER NAME | MENDOCINO COMMUNITY HEALTH CLINIC, INC. |
| EMPLOYER ADDRESS | 333 LAWS AVENUE |
| EMPLOYER CITY | UKIAH |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 95482 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 7074681010 |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY NAME | BACH, JAMES |
| AGENT ATTORNEY CITY | SAN FRANCISCO |
| AGENT ATTORNEY STATE | CA |
| LCA CASE JOB TITLE | PEDIATRICIAN |
| SOC CODE | 29-1065 |
| SOC NAME | PEDIATRICIANS, GENERAL |
| NAICS CODE | 621111 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMP | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | Y |
| PREVAILING WAGE | 188,531.00 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | Level II |
| PW SOURCE | OES |
| PW SOURCE YEAR | 2017 |
| PW SOURCE OTHER | OFLC ONLINE DATA CENTER |
| LCA CASE WAGE RATE FROM | 221,400.00 |
| LCA CASE WAGE RATE TO | 0.00 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| SUPPORT H1B | NA |
| LABOR CON AGREE | Y |
| LCA CASE WORKLOC1 CITY | LAKEPORT |
| WORKSITE COUNTY | LAKE |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 95453 |
