| LCA CASE NUMBER | I-200-20289-879666 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-10-15 |
| DECISION DATE | 2020-10-22 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Nurse Practitioner |
| SOC CODE | 29-1171.00 |
| SOC TITLE | Nurse Practitioners |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2020-11-02 |
| END DATE | 2023-11-01 |
| 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 | University of California, Los Angeles |
| EMPLOYER ADDRESS1 | 106 Bradley International Hall |
| EMPLOYER ADDRESS2 | 417 Charles E. Young Drive West |
| EMPLOYER CITY | Los Angeles |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 90095 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13108251681 |
| NAICS CODE | 611310 |
| EMPLOYER POC LAST NAME | Ottemoeller |
| EMPLOYER POC FIRST NAME | Sylvia |
| EMPLOYER POC JOB TITLE | Immigration Counselor |
| EMPLOYER POC ADDRESS 1 | 106 Bradley International Hall |
| EMPLOYER POC ADDRESS 2 | 417 Charles E. Young Drive West |
| EMPLOYER POC CITY | Los Angeles |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 90095 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13108251681 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | False |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | UCLA Health, Department of Nursing |
| WORKSITE ADDRESS2 | Santa Monica Medical Center |
| LCA CASE WORKLOC1 CITY | Santa Monica |
| WORKSITE COUNTY | LOS ANGELES |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 90404 |
| LCA CASE WAGE RATE FROM | 159168.24 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 159168.24 |
| PW UNIT OF PAY | Year |
| PW OTHER SOURCE | CBA |
| PW OTHER YEAR | 2019 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Abueg |
| PREPARER FIRST NAME | Nino |
| PREPARER BUSINESS NAME | University of California, Los Angeles |
| PREPARER EMAIL | [email protected] |
