| LCA CASE NUMBER | I-200-20239-788835 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-08-26 |
| DECISION DATE | 2020-09-02 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | N |
| LCA CASE EMPLOYMENT START DATE | 2020-09-01 |
| END DATE | 2023-08-31 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 1 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Tsibel Dental Group Inc |
| TRADE NAME DBA | Bellflower Dental Group |
| EMPLOYER ADDRESS1 | 10318 East Rosecrans Ave |
| EMPLOYER CITY | Bellflower |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 90706 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13234866579 |
| NAICS CODE | 62121 |
| EMPLOYER POC LAST NAME | Tsibel |
| EMPLOYER POC FIRST NAME | Arkady |
| EMPLOYER POC JOB TITLE | Owner |
| EMPLOYER POC ADDRESS1 | 10318 East Rosecrans Ave |
| EMPLOYER POC CITY | Bellflower |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 90706 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16264979638 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Mohan |
| AGENT ATTORNEY FIRST NAME | Mayank |
| AGENT ATTORNEY ADDRESS1 | 127 Broadway |
| AGENT ATTORNEY ADDRESS2 | Suite 204 |
| AGENT ATTORNEY CITY | santa monica |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 90401 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13106335060.0 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Law Office of Mayank Mohan |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 10318 East Rosecrans Ave |
| LCA CASE WORKLOC1 CITY | Bellflower |
| WORKSITE COUNTY | LOS ANGELES |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 90706 |
| LCA CASE WAGE RATE FROM | 83.0 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 82.12 |
| PW UNIT OF PAY | Hour |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business and Employment |
| PREPARER LAST NAME | Mohan |
| PREPARER FIRST NAME | Mayank |
| PREPARER BUSINESS NAME | Law Office of Mayank Mohan |
| PREPARER EMAIL | [email protected] |
