| LCA CASE NUMBER | I-200-21116-257625 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-04-26 |
| DECISION DATE | 2021-05-03 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Senior Clinical Informaticist |
| SOC CODE | 17-2112.00 |
| SOC TITLE | Industrial Engineers |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-10-26 |
| END DATE | 2024-10-25 |
| 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 | Rady Children's Hospital - San Diego |
| EMPLOYER ADDRESS1 | 3020 Children's Way |
| EMPLOYER CITY | San Diego |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 92123 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 18589667786 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Nugent |
| EMPLOYER POC FIRST NAME | Cathy |
| EMPLOYER POC JOB TITLE | VP of Human Resources |
| EMPLOYER POC ADDRESS 1 | 3020 Children's Way |
| EMPLOYER POC CITY | San Diego |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 92123 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 18589667578 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | FAURE WENGER |
| AGENT ATTORNEY FIRST NAME | KARINE |
| AGENT ATTORNEY MIDDLE NAME | ISABELLE |
| AGENT ATTORNEY ADDRESS1 | P.O. BOX 910129 |
| AGENT ATTORNEY CITY | SAN DIEGO |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 92191 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18587931600 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Fragomen, Del Rey, Bernsen and Loewy, LLP |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 8268 Wymark Drive |
| LCA CASE WORKLOC1 CITY | Elk Grove |
| WORKSITE COUNTY | SACRAMENTO |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 95757 |
| LCA CASE WAGE RATE FROM | 122782.4 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 103002 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Wenger |
| PREPARER FIRST NAME | Karine |
| PREPARER MIDDLE INITIAL | I. |
| PREPARER BUSINESS NAME | Fragomen Del Rey Bernsen & Loewy LLP |
| PREPARER EMAIL | [email protected] |
