| LCA CASE NUMBER | I-200-20049-330557 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-02-18 |
| DECISION DATE | 2020-02-25 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Hospitalist Physician 19-097 |
| SOC CODE | 29-1069.03 |
| SOC TITLE | Hospitalists |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-02-18 |
| END DATE | 2023-02-17 |
| 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 | Inpatient Specialists of California, P.C. |
| TRADE NAME DBA | Sound Physicians of California IV |
| EMPLOYER ADDRESS1 | 1498 Pacific Ave., Suite 400 |
| EMPLOYER CITY | Tacoma |
| EMPLOYER STATE | WA |
| EMPLOYER POSTAL CODE | 98402 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12536826007 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | JOHNSON |
| EMPLOYER POC FIRST NAME | AMANDA |
| EMPLOYER POC MIDDLE NAME | I |
| EMPLOYER POC JOB TITLE | Manager, Immigration and Travel Services |
| EMPLOYER POC ADDRESS1 | 1498 Pacific Ave., Suite 400 |
| EMPLOYER POC CITY | Tacoma |
| EMPLOYER POC STATE | WA |
| EMPLOYER POC POSTAL CODE | 98402 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12536826007 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Nguyen |
| AGENT ATTORNEY FIRST NAME | Thu |
| AGENT ATTORNEY MIDDLE NAME | T |
| AGENT ATTORNEY ADDRESS1 | 17330 PRESTON RD, SUITE 102B |
| AGENT ATTORNEY CITY | Dallas |
| AGENT ATTORNEY STATE | TX |
| AGENT ATTORNEY POSTAL CODE | 75252 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19726855660.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Law Office of Thu Nguyen, PLLC |
| STATE OF HIGHEST COURT | TX |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | Y |
| SECONDARY ENTITY BUSINESS NAME | Dignity Health - St. Bernardine Medical Center |
| WORKSITE ADDRESS1 | 2101 N Waterman Ave. |
| LCA CASE WORKLOC1 CITY | San Bernardino |
| WORKSITE COUNTY | SAN BERNARDINO |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 92404 |
| LCA CASE WAGE RATE FROM | 252000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 150197.0 |
| 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 | Bernal |
| PREPARER FIRST NAME | Tracy |
| PREPARER MIDDLE INITIAL | L |
| PREPARER BUSINESS NAME | Law Office of Thu Nguyen, PLLC |
| PREPARER EMAIL | [email protected] |
