| LCA CASE NUMBER | I-200-20091-446953 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-03-31 |
| DECISION DATE | 2020-04-07 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | General Surgeon |
| SOC CODE | 29-1067.00 |
| SOC TITLE | Surgeons |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-06-17 |
| END DATE | 2023-06-16 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Physicians Network Medical Group |
| TRADE NAME DBA | PNMG, Inc. |
| EMPLOYER ADDRESS1 | One Adventist Health Way |
| EMPLOYER CITY | Roseville |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 95661 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19164060121 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Rasmusson |
| EMPLOYER POC FIRST NAME | Ryan |
| EMPLOYER POC JOB TITLE | Director, Professional Corporations (Medical Groups) |
| 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 | 19164060098 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Perez |
| AGENT ATTORNEY FIRST NAME | Marcia |
| AGENT ATTORNEY MIDDLE NAME | I |
| AGENT ATTORNEY ADDRESS1 | 601 Montgomery Street |
| AGENT ATTORNEY ADDRESS2 | Suite 665 |
| AGENT ATTORNEY CITY | San Francisco |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 94111 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14152918122.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Law Office of Marcia I. Perez |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | California Supremem Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 15630 18th Avenue |
| LCA CASE WORKLOC1 CITY | Clearlake |
| WORKSITE COUNTY | LAKE |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 95422 |
| LCA CASE WAGE RATE FROM | 269629.0 |
| LCA CASE WAGE RATE TO | 651590.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 208000.0 |
| PW UNIT OF PAY | Year |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
