| LCA CASE NUMBER | I-200-20083-428146 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-03-23 |
| DECISION DATE | 2020-03-30 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Obstetrician and Gynecologist |
| SOC CODE | 29-1064.00 |
| SOC TITLE | Obstetricians and Gynecologists |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-07-01 |
| END DATE | 2023-06-30 |
| 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 | Physicans' Network Medical Group |
| EMPLOYER ADDRESS1 | One Adventist Way |
| EMPLOYER CITY | Roseville |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 95661 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19164060082 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Drizen |
| EMPLOYER POC FIRST NAME | Kimberly |
| EMPLOYER POC JOB TITLE | Human Performance Director |
| EMPLOYER POC ADDRESS1 | One Adventist Health Way |
| EMPLOYER POC CITY | Roseville |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 95661 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19164060082 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | IYER |
| AGENT ATTORNEY FIRST NAME | RAJKRISHNA |
| AGENT ATTORNEY MIDDLE NAME | Sriram |
| AGENT ATTORNEY ADDRESS1 | 21250 HAWTHORNE BLVD |
| AGENT ATTORNEY ADDRESS2 | STE. 700 |
| AGENT ATTORNEY CITY | TORRANCE |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 90503 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13103283322.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Iyer Demirovic Chinchoy LLP |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | Y |
| SECONDARY ENTITY BUSINESS NAME | Adventist Health Delano (Delano Women's Medical Clinic) |
| WORKSITE ADDRESS1 | 1201 Jefferson Street |
| LCA CASE WORKLOC1 CITY | Delano |
| WORKSITE COUNTY | KERN |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 93215 |
| LCA CASE WAGE RATE FROM | 235000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 211328.0 |
| PW UNIT OF PAY | Year |
| 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 |
