| LCA CASE NUMBER | I-200-20060-363689 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-02-29 |
| DECISION DATE | 2020-03-06 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | N |
| LCA CASE EMPLOYMENT START DATE | 2020-03-23 |
| END DATE | 2022-12-02 |
| 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 | California Forensic Medical Group |
| EMPLOYER ADDRESS1 | 3911 Sorrento Valley Blvd |
| EMPLOYER ADDRESS2 | Suite 130 |
| EMPLOYER CITY | San Diego |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 92121 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16153245706 |
| NAICS CODE | 621491 |
| EMPLOYER POC LAST NAME | Silveira |
| EMPLOYER POC FIRST NAME | Kevin |
| EMPLOYER POC JOB TITLE | Health Services Administrator - Tulare County |
| EMPLOYER POC ADDRESS1 | 3911 Sorrento Valley Blvd |
| EMPLOYER POC ADDRESS2 | Suite 130 |
| EMPLOYER POC CITY | San Diego |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 92121 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16153245706 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Welch |
| AGENT ATTORNEY FIRST NAME | Lidiya |
| AGENT ATTORNEY ADDRESS1 | 101 Greenwood Avenue |
| AGENT ATTORNEY ADDRESS2 | Suite 380 |
| AGENT ATTORNEY CITY | Jenkintown |
| AGENT ATTORNEY STATE | PA |
| AGENT ATTORNEY POSTAL CODE | 19046 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12158853600.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Goldblum & Pollins, P.C. |
| STATE OF HIGHEST COURT | PA |
| NAME OF HIGHEST STATE COURT | Pennsylvania Supreme Court |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | Y |
| SECONDARY ENTITY BUSINESS NAME | Tulare County Adult Pre-Trial Facility |
| WORKSITE ADDRESS1 | 36650 Road 112 |
| LCA CASE WORKLOC1 CITY | Visalia |
| WORKSITE COUNTY | TULARE |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 93291 |
| LCA CASE WAGE RATE FROM | 85.0 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 74.88 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | III |
| 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 BUSINESS NAME | Goldblum & Pollins, P.C. |
