| LCA CASE NUMBER | I-200-20224-763258 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-08-11 |
| DECISION DATE | 2020-08-18 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Primary Care Physician |
| SOC CODE | 29-1063.00 |
| SOC TITLE | Internists, General |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2021-01-02 |
| END DATE | 2024-01-01 |
| 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 | San Joaquin General Hospital |
| EMPLOYER ADDRESS1 | 500 W. Hospital Road |
| EMPLOYER CITY | French Camp |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 95231 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12094686610 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Guasco |
| EMPLOYER POC FIRST NAME | Stephen |
| EMPLOYER POC MIDDLE NAME | L. |
| EMPLOYER POC JOB TITLE | Director of Physician Contracting and Managed Care |
| EMPLOYER POC ADDRESS1 | 500 W. Hospital Road |
| EMPLOYER POC CITY | French Camp |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 95231 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12094686610 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Lopez |
| AGENT ATTORNEY FIRST NAME | Angela |
| AGENT ATTORNEY MIDDLE NAME | M. |
| AGENT ATTORNEY ADDRESS1 | 4965 Preston Park Blvd. |
| AGENT ATTORNEY ADDRESS2 | Suite 320 |
| AGENT ATTORNEY CITY | Plano |
| AGENT ATTORNEY STATE | TX |
| AGENT ATTORNEY POSTAL CODE | 75093 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12146722162.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Cowles & Thompson, PC |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 500 W. Hospital Road |
| LCA CASE WORKLOC1 CITY | French Camp |
| WORKSITE COUNTY | SAN JOAQUIN |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 95231 |
| LCA CASE WAGE RATE FROM | 201974.5 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 201974.5 |
| PW UNIT OF PAY | Year |
| PW OTHER SOURCE | CBA |
| PW OTHER YEAR | 2020.0 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Escobar |
| PREPARER FIRST NAME | Maria |
| PREPARER MIDDLE INITIAL | F |
| PREPARER BUSINESS NAME | Cowles & Thompson, PC |
| PREPARER EMAIL | [email protected] |
