| LCA CASE NUMBER | I-200-20134-568573 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-05-13 |
| DECISION DATE | 2020-05-20 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | PHYSICIAN |
| SOC CODE | 29-1062.00 |
| SOC TITLE | Family and General Practitioners |
| FULL TIME POSITION | N |
| LCA CASE EMPLOYMENT START DATE | 2020-08-13 |
| END DATE | 2023-08-13 |
| 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 | LA CLINICA DE LA RAZA INC |
| EMPLOYER ADDRESS1 | 1450 FRUITVALE AVENUE |
| EMPLOYER ADDRESS2 | 3RD FLOOR |
| EMPLOYER CITY | OAKLAND |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 94601 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15105354000 |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | MOUTOUSSAMY |
| EMPLOYER POC FIRST NAME | JOHN |
| EMPLOYER POC JOB TITLE | HR DIRECTOR |
| EMPLOYER POC ADDRESS1 | 1450 FRUITVALE AVENUE |
| EMPLOYER POC ADDRESS2 | 3RD FLOOR |
| EMPLOYER POC CITY | OAKLAND |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 94601 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15105353319 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | RANCHOD |
| AGENT ATTORNEY FIRST NAME | KAUSHIK |
| AGENT ATTORNEY ADDRESS1 | P.O. BOX 4313 |
| AGENT ATTORNEY CITY | EL DORADO HILLS |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 95762 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19166133553.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | RANCHOD LAW GROUP PC |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | CALIFORNIA SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 243 GEORGIA STREET |
| WORKSITE ADDRESS2 | SUITE B |
| LCA CASE WORKLOC1 CITY | VALLEJO |
| WORKSITE COUNTY | SOLANO |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 94590 |
| LCA CASE WAGE RATE FROM | 72.0 |
| LCA CASE WAGE RATE TO | 85.0 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 71.84 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | II |
| 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 Business |
| PREPARER LAST NAME | CAMPOS |
| PREPARER FIRST NAME | ARMANDO |
| PREPARER BUSINESS NAME | RANCHOD LAW GROUP, PC |
| PREPARER EMAIL | [email protected] |
