| LCA CASE NUMBER | I-200-21162-389882 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-06-11 |
| DECISION DATE | 2021-06-21 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Associate Physician |
| SOC CODE | 29-1063 |
| SOC TITLE | Internist, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-09-15 |
| END DATE | 2024-09-14 |
| 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 | Washington Township Medical Group Inc. |
| EMPLOYER ADDRESS1 | 2500 Mowry Avenue |
| EMPLOYER ADDRESS2 | Ste. 255 |
| EMPLOYER CITY | Fremont |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 94538 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15108187468 |
| NAICS CODE | 6211 |
| EMPLOYER POC LAST NAME | Nunez |
| EMPLOYER POC FIRST NAME | Christina |
| EMPLOYER POC JOB TITLE | President of Ambulatory Services |
| EMPLOYER POC ADDRESS 1 | 2500 Mowry Avenue |
| EMPLOYER POC ADDRESS 2 | Ste. 255 |
| EMPLOYER POC CITY | Fremont |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 94538 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15108187468 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Miyamoto |
| AGENT ATTORNEY FIRST NAME | Lynn |
| AGENT ATTORNEY MIDDLE NAME | Akemi |
| AGENT ATTORNEY ADDRESS1 | 5048 Humphrey Way |
| AGENT ATTORNEY CITY | La Crescenta |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 91214 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18187830083 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Lynn A Miyamoto, A PLC |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court of California |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | Washington Township Medical Group, Inc. |
| WORKSITE ADDRESS1 | 2500 Mowry Avenue |
| WORKSITE ADDRESS2 | Ste 255 |
| LCA CASE WORKLOC1 CITY | Fremont |
| WORKSITE COUNTY | ALAMEDA |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 94538 |
| LCA CASE WAGE RATE FROM | 240000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 227822 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2020 - 6/30/2021 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Miyamoto |
| PREPARER FIRST NAME | Lynn |
| PREPARER MIDDLE INITIAL | A |
| PREPARER BUSINESS NAME | Lynn A Miyamoto, A PLC |
| PREPARER EMAIL | [email protected] |
