| LCA CASE NUMBER | I-200-19340-184798 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2019-12-06 |
| DECISION DATE | 2019-12-13 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Primary Care Physician |
| SOC CODE | 29-1062.00 |
| SOC TITLE | Family and General Practitioners |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2019-12-16 |
| END DATE | 2022-12-15 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Coastal Health Alliance |
| EMPLOYER ADDRESS1 | 65 Third Street |
| EMPLOYER ADDRESS2 | P.O. Box 910 |
| EMPLOYER CITY | Point Reyes Station |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 94956 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | +14157871126 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Huneidi |
| EMPLOYER POC FIRST NAME | Khalid |
| EMPLOYER POC JOB TITLE | Human Resources Manager |
| EMPLOYER POC ADDRESS1 | 65 Third Street, Suite 27 |
| EMPLOYER POC ADDRESS2 | P.O. Box 910 |
| EMPLOYER POC CITY | Point Reyes Station |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 94956 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | +14157871126 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Higuera |
| AGENT ATTORNEY FIRST NAME | Danja |
| AGENT ATTORNEY ADDRESS1 | 3789 Green Road |
| AGENT ATTORNEY CITY | Beachwood |
| AGENT ATTORNEY STATE | OH |
| AGENT ATTORNEY POSTAL CODE | 44122 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12168960855.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Green and Spiegel Midwest LLC |
| STATE OF HIGHEST COURT | OH |
| NAME OF HIGHEST STATE COURT | Supreme Court of Ohio |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 3 Sixth Street |
| LCA CASE WORKLOC1 CITY | Point Reyes Station |
| WORKSITE COUNTY | MARIN |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 94956 |
| LCA CASE WAGE RATE FROM | 205000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 176821.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 2.0 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Kobza |
| PREPARER FIRST NAME | Wendy |
| PREPARER MIDDLE INITIAL | P |
| PREPARER BUSINESS NAME | Green and Spiegel Midwest LLC |
| PREPARER EMAIL | [email protected] |
