| LCA CASE NUMBER | I-200-21172-413846 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-06-21 |
| DECISION DATE | 2021-06-28 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physician |
| SOC CODE | 29-1065.00 |
| SOC TITLE | Pediatricians, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-08-20 |
| END DATE | 2024-08-19 |
| 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 | Benevolence Industries, Incorporated |
| TRADE NAME DBA | Benevolence Health Centers |
| EMPLOYER ADDRESS1 | 1010 Crenshaw Blvd |
| EMPLOYER ADDRESS2 | Suite 100 |
| EMPLOYER CITY | Torrance |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 90501 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13237320100 |
| NAICS CODE | 62149 |
| EMPLOYER POC LAST NAME | Koomson |
| EMPLOYER POC FIRST NAME | Frank |
| EMPLOYER POC JOB TITLE | Chief Operating Officer |
| EMPLOYER POC ADDRESS 1 | 1010 Crenshaw Blvd |
| EMPLOYER POC ADDRESS 2 | Suite 100 |
| EMPLOYER POC CITY | Torrance |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 90501 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13106175651 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Sachse |
| AGENT ATTORNEY FIRST NAME | Timothy |
| AGENT ATTORNEY MIDDLE NAME | J. |
| AGENT ATTORNEY ADDRESS1 | 10451 Mill Run Circle |
| AGENT ATTORNEY ADDRESS2 | Suite 100 |
| AGENT ATTORNEY CITY | Owings Mills |
| AGENT ATTORNEY STATE | MD |
| AGENT ATTORNEY POSTAL CODE | 21117 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14103565440 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Murthy Law Firm |
| STATE OF HIGHEST COURT | MD |
| NAME OF HIGHEST STATE COURT | Court of Appeals of Maryland |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 805 W. La Veta Ave |
| LCA CASE WORKLOC1 CITY | Orange |
| WORKSITE COUNTY | ORANGE |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 92868 |
| LCA CASE WAGE RATE FROM | 166400 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 131331 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| 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 | Cardoza |
| PREPARER FIRST NAME | Sergio |
| PREPARER BUSINESS NAME | Murthy Law Firm |
| PREPARER EMAIL | [email protected] |
