| LCA CASE NUMBER | I-200-20309-899504 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2020-11-04 |
| DECISION DATE | 2021-04-26 |
| ORIGINAL CERT DATE | 2020-11-12 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Primary Care Physician/Office Medical Director |
| SOC CODE | 29-1062.00 |
| SOC TITLE | Family and General Practitioners |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2020-11-04 |
| END DATE | 2023-10-14 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 1 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | One Medical Group, Inc. |
| EMPLOYER ADDRESS1 | One Embarcadero Center |
| EMPLOYER ADDRESS2 | 19th Floor |
| EMPLOYER CITY | San Francisco |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 94111 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16282133589 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Wang |
| EMPLOYER POC FIRST NAME | Alison |
| EMPLOYER POC JOB TITLE | HR Generalist |
| EMPLOYER POC ADDRESS 1 | One Embarcadero Center |
| EMPLOYER POC ADDRESS 2 | 19th Floor |
| EMPLOYER POC CITY | San Francisco |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 94111 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16282133589 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Amadio |
| AGENT ATTORNEY FIRST NAME | Zdenka |
| AGENT ATTORNEY ADDRESS1 | 456 MONTGOMERY ST |
| AGENT ATTORNEY ADDRESS2 | 19th Floor |
| AGENT ATTORNEY CITY | San Francisco |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 94104 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14154341161 |
| AGENT ATTORNEY PHONE EXT | 18 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | JEWELL STEWART & PRATT PC |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | CALIFORNIA SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 4545 La Jolla Village Drive, Suite C5 |
| LCA CASE WORKLOC1 CITY | San Diego |
| WORKSITE COUNTY | SAN DIEGO |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 92122 |
| LCA CASE WAGE RATE FROM | 225800 |
| LCA CASE WAGE RATE TO | 234400 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 214240 |
| PW UNIT OF PAY | Year |
| PW OTHER SOURCE | Survey |
| PW OTHER YEAR | 2019 |
| PW SURVEY PUBLISHER | Bureau of Labor Statistics |
| PW SURVEY NAME | Bureau of Labor Statistics |
| TOTAL WORKSITE LOCATIONS | 3 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Soldavini |
| PREPARER FIRST NAME | Joseph |
| PREPARER MIDDLE INITIAL | C. |
| PREPARER BUSINESS NAME | Jewell Stewart & Pratt PC |
| PREPARER EMAIL | [email protected] |
