| LCA CASE NUMBER | I-200-20060-362801 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-02-28 |
| DECISION DATE | 2020-03-06 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Nurse Practitioner |
| SOC CODE | 29-1171.00 |
| SOC TITLE | Nurse Practitioners |
| FULL TIME POSITION | N |
| LCA CASE EMPLOYMENT START DATE | 2020-08-25 |
| 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 | Unicare Community Health Center Inc. |
| TRADE NAME DBA | Unicare Community Care Center |
| EMPLOYER ADDRESS1 | 437 N. Euclid Ave. |
| EMPLOYER CITY | Ontario |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 91762 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19099882555 |
| NAICS CODE | 621498 |
| EMPLOYER POC LAST NAME | Vo |
| EMPLOYER POC FIRST NAME | Kelly |
| EMPLOYER POC JOB TITLE | Executive Vice President |
| EMPLOYER POC ADDRESS1 | 437 N. Euclid Ave. |
| EMPLOYER POC CITY | Ontario |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 91762 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19099882555 |
| EMPLOYER POC PHONE EXT | 107.0 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Green |
| AGENT ATTORNEY FIRST NAME | Adam |
| AGENT ATTORNEY ADDRESS1 | 6300 Wilshire Blvd., Suite 800 |
| AGENT ATTORNEY ADDRESS2 | 1 Nguyen |
| AGENT ATTORNEY CITY | Los Angeles |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 90048 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13238526135.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Law Offices of Adam Green |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 16127 Foothill Blvd. |
| LCA CASE WORKLOC1 CITY | Fontana |
| WORKSITE COUNTY | SAN BERNARDINO |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 92335 |
| LCA CASE WAGE RATE FROM | 55.0 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 54.59 |
| PW UNIT OF PAY | Hour |
| 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 |
