| LCA CASE NUMBER | I-200-20134-567164 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-05-13 |
| DECISION DATE | 2020-05-20 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician (Family Medicine) |
| SOC CODE | 29-1062.00 |
| SOC TITLE | Family and General Practitioners |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-07-20 |
| END DATE | 2023-07-19 |
| 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 | Prospect CharterCARE Physicians, LLC |
| TRADE NAME DBA | d/b/a CharterCARE Medical Associates |
| EMPLOYER ADDRESS1 | 3415 S Sepulveda Blvd. |
| EMPLOYER ADDRESS2 | 9th Floor |
| EMPLOYER CITY | Los Angeles |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 90034 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 14014562498 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Watts |
| EMPLOYER POC FIRST NAME | Thomas |
| EMPLOYER POC JOB TITLE | Director of Human Resources |
| EMPLOYER POC ADDRESS1 | 825 Chalkstone Avenue |
| EMPLOYER POC CITY | Providence |
| EMPLOYER POC STATE | RI |
| EMPLOYER POC POSTAL CODE | 2908 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 14014562525 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Brown |
| AGENT ATTORNEY FIRST NAME | Thomas |
| AGENT ATTORNEY MIDDLE NAME | STEPHEN |
| AGENT ATTORNEY ADDRESS1 | 2139 BROAD STREET |
| AGENT ATTORNEY CITY | CRANSTON |
| AGENT ATTORNEY STATE | RI |
| AGENT ATTORNEY POSTAL CODE | 2905 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14012744040.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Rodio & Brown, Ltd. |
| STATE OF HIGHEST COURT | RI |
| NAME OF HIGHEST STATE COURT | SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 41 Sanderson Road |
| LCA CASE WORKLOC1 CITY | Smithfield |
| WORKSITE COUNTY | PROVIDENCE CITY |
| LCA CASE WORKLOC1 STATE | RI |
| WORKSITE POSTAL CODE | 2917 |
| LCA CASE WAGE RATE FROM | 195000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 105290.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Employment |
