| LCA CASE NUMBER | I-200-19294-099739 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2019-10-21 |
| DECISION DATE | 2019-10-28 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Psychiatrist |
| SOC CODE | 29-1066.00 |
| SOC TITLE | Psychiatrists |
| FULL TIME POSITION | N |
| LCA CASE EMPLOYMENT START DATE | 2019-10-28 |
| END DATE | 2020-06-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| LCA CASE EMPLOYER NAME | Santa Cruz County Health Service Agency |
| TRADE NAME DBA | Santa Cruz County Health Service Agency |
| EMPLOYER ADDRESS1 | 1080 Emeline Avenue |
| EMPLOYER CITY | Santa Cruz |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 95060 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | +18314544471 |
| NAICS CODE | 621112 |
| EMPLOYER POC LAST NAME | Evans |
| EMPLOYER POC FIRST NAME | Tyler |
| EMPLOYER POC JOB TITLE | Chief Medical Officer |
| EMPLOYER POC ADDRESS1 | 1080 Emeline Avenue |
| EMPLOYER POC CITY | Santa Cruz |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 95060 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | +19176481068 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Leibl |
| AGENT ATTORNEY FIRST NAME | Geoffrey |
| AGENT ATTORNEY MIDDLE NAME | D. |
| AGENT ATTORNEY ADDRESS1 | 12250 El Camino Real |
| AGENT ATTORNEY ADDRESS2 | Suite 350 |
| AGENT ATTORNEY CITY | San Diego |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 92130 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18584815211.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Leibl & Kirkwood PC |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 115 a Coral St. |
| LCA CASE WORKLOC1 CITY | Santa Cruz |
| WORKSITE COUNTY | SANTA CRUZ |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 95060 |
| LCA CASE WAGE RATE FROM | 108.0 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 100.0 |
| PW UNIT OF PAY | Hour |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1.0 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Chiwai |
| PREPARER FIRST NAME | Lorraine |
| PREPARER BUSINESS NAME | Leibl and Kirkwood PC |
| PREPARER EMAIL | [email protected] |
