| LCA CASE NUMBER | I-200-20169-659129 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2020-06-16 |
| DECISION DATE | 2022-12-06 |
| ORIGINAL CERT DATE | 2020-06-23 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Internal Medicine Physician |
| SOC CODE | 29-1063.00 |
| SOC TITLE | Internists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2020-07-20 |
| END DATE | 2023-07-19 |
| 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 | The Gould Medical Group, Inc. |
| EMPLOYER ADDRESS1 | 600 Coffee Road |
| EMPLOYER CITY | Modesto |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 95355 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12095504792 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Field |
| EMPLOYER POC FIRST NAME | Michael |
| EMPLOYER POC JOB TITLE | Manager of Physician Recruitment |
| EMPLOYER POC ADDRESS1 | 600 Coffee Road |
| EMPLOYER POC CITY | Modesto |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 95355 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12092876008 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | BRUNER |
| AGENT ATTORNEY FIRST NAME | Elise |
| AGENT ATTORNEY MIDDLE NAME | Rae |
| AGENT ATTORNEY ADDRESS1 | 5125 County Road 101 |
| AGENT ATTORNEY ADDRESS2 | Suite 106 |
| AGENT ATTORNEY CITY | Minnetonka |
| AGENT ATTORNEY STATE | MN |
| AGENT ATTORNEY POSTAL CODE | 55345 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19527972619 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | BRUNER LAW GROUP, PLLC |
| STATE OF HIGHEST COURT | MN |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | Fairmont Avenue Care Center - Sutter Health |
| WORKSITE ADDRESS1 | 999 S. Fairmont Ave |
| LCA CASE WORKLOC1 CITY | Lodi |
| WORKSITE COUNTY | SAN JOAQUIN |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 95240 |
| LCA CASE WAGE RATE FROM | 258323 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 178547 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
