| LCA CASE NUMBER | I-200-20182-688016 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-06-30 |
| DECISION DATE | 2020-07-08 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Attending Physician, Pediatrics |
| SOC CODE | 29-1065.00 |
| SOC TITLE | Pediatricians, General |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-08-16 |
| END DATE | 2023-08-16 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 1 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Faculty Physicians & Surgeons of LLUSM |
| TRADE NAME DBA | d/b/a Loma Linda University Faculty Medical Group |
| EMPLOYER ADDRESS1 | 11175 Campus Street, #11120 |
| EMPLOYER CITY | Loma Linda |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 92350 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19095588297 |
| NAICS CODE | 611310 |
| EMPLOYER POC LAST NAME | Unterseher |
| EMPLOYER POC FIRST NAME | Mike |
| EMPLOYER POC JOB TITLE | Executive Director of Provider Recruitment |
| EMPLOYER POC ADDRESS1 | 11175 Campus Street |
| EMPLOYER POC ADDRESS2 | CP 11109 |
| EMPLOYER POC CITY | Loma Linda |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 92354 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19095585912 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Payne |
| AGENT ATTORNEY FIRST NAME | Timothy |
| AGENT ATTORNEY MIDDLE NAME | G. |
| AGENT ATTORNEY ADDRESS1 | 1 South Dearborn Street |
| AGENT ATTORNEY CITY | Chicago |
| AGENT ATTORNEY STATE | IL |
| AGENT ATTORNEY POSTAL CODE | 60603 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13128537000.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Sidley Austin LLP |
| STATE OF HIGHEST COURT | IL |
| NAME OF HIGHEST STATE COURT | Supreme Court of Illinois |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 11234 Anderson Street |
| LCA CASE WORKLOC1 CITY | Loma Linda |
| WORKSITE COUNTY | SAN BERNARDINO |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 92354 |
| LCA CASE WAGE RATE FROM | 160000.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 142168.0 |
| 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 Business |
| PREPARER LAST NAME | Lipscomb |
| PREPARER FIRST NAME | Nicole |
| PREPARER MIDDLE INITIAL | M |
| PREPARER BUSINESS NAME | Sidley Austin LLP |
| PREPARER EMAIL | [email protected] |
