| LCA CASE NUMBER | I-200-20134-568390 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-05-13 |
| DECISION DATE | 2020-05-20 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Pain Management Physician |
| SOC CODE | 29-1069.00 |
| SOC TITLE | Physicians and Surgeons, All Other |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-07-01 |
| END DATE | 2023-06-30 |
| 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 | INTEGRATED PAIN MANAGEMENT MEDICAL GROUP, INC. |
| TRADE NAME DBA | IPM MEDICAL GROUP, INC. |
| EMPLOYER ADDRESS1 | 165 Lennon Lane |
| EMPLOYER ADDRESS2 | Suite 100 |
| EMPLOYER CITY | Walnut Creek |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 94598 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15308672080 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | SMITH |
| EMPLOYER POC FIRST NAME | ENJOLI |
| EMPLOYER POC MIDDLE NAME | J |
| EMPLOYER POC JOB TITLE | DIRECTOR OF HUMAN RESORCES |
| EMPLOYER POC ADDRESS1 | 165 LENNON LANE |
| EMPLOYER POC ADDRESS2 | SUITE 100 |
| EMPLOYER POC CITY | WALNUT CREEK |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 94598 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19256919806 |
| EMPLOYER POC PHONE EXT | 8213.0 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | PERLITSH |
| AGENT ATTORNEY FIRST NAME | STEPHEN |
| AGENT ATTORNEY MIDDLE NAME | M |
| AGENT ATTORNEY ADDRESS1 | 110 WEST 34TH STREET |
| AGENT ATTORNEY ADDRESS2 | SUITE 300 |
| AGENT ATTORNEY CITY | NEW YORK |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10001 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12128403878.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | LAW OFFICE OF STEPHEN M. PERLITSH |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 1524 McHenry Avenue |
| LCA CASE WORKLOC1 CITY | Modesto |
| WORKSITE COUNTY | STANISLAUS |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 95350 |
| LCA CASE WAGE RATE FROM | 350000.0 |
| 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 | 3 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | ALFRED |
| PREPARER FIRST NAME | DARRYL |
| PREPARER MIDDLE INITIAL | D.S |
| PREPARER BUSINESS NAME | LAW OFFICE OF STEPHEN M. PERLITSH |
| PREPARER EMAIL | [email protected] |
