| LCA CASE NUMBER | I-200-20058-358891 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-02-27 |
| DECISION DATE | 2020-03-05 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-08-26 |
| END DATE | 2023-08-25 |
| 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 | Saba Khandani DDS |
| TRADE NAME DBA | DBA Washington Square Park Dental |
| EMPLOYER ADDRESS1 | 1719 Powell St. |
| EMPLOYER CITY | San Francisco |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 94133 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14158919773 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Khandani |
| EMPLOYER POC FIRST NAME | Saba |
| EMPLOYER POC JOB TITLE | Owner Dentist |
| EMPLOYER POC ADDRESS1 | 1719 Powell St. |
| EMPLOYER POC CITY | San Francisco |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 94133 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14158919773 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Younossi |
| AGENT ATTORNEY FIRST NAME | Helena |
| AGENT ATTORNEY MIDDLE NAME | S |
| AGENT ATTORNEY ADDRESS1 | 601 Gateway Blvd. |
| AGENT ATTORNEY ADDRESS2 | Suite 210 |
| AGENT ATTORNEY CITY | South San Francisco |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 94080 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 16507377600.0 |
| AGENT ATTORNEY PHONE EXT | 111.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Younossi Law |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 1719 Powell Street |
| LCA CASE WORKLOC1 CITY | San Francisco |
| WORKSITE COUNTY | SAN FRANCISCO |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 94133 |
| LCA CASE WAGE RATE FROM | 104666.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 84011.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| 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 | Younossi |
| PREPARER FIRST NAME | Helena |
| PREPARER MIDDLE INITIAL | S |
| PREPARER BUSINESS NAME | Younossi Law |
| PREPARER EMAIL | [email protected] |
