| LCA CASE NUMBER | I-200-21278-624955 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2021-10-05 |
| DECISION DATE | 2021-10-13 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Chief Behavioral Health Officer |
| SOC CODE | 29-1066.00 |
| SOC TITLE | Psychiatrists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2021-10-18 |
| END DATE | 2024-10-17 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| LCA CASE EMPLOYER NAME | San Ysidro Health |
| EMPLOYER ADDRESS1 | 1601 Precision Park Lane |
| EMPLOYER CITY | San Diego |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 92173 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16196624185 |
| NAICS CODE | 621112 |
| EMPLOYER POC LAST NAME | Eddings |
| EMPLOYER POC FIRST NAME | Donna |
| EMPLOYER POC JOB TITLE | VP and CHRO |
| EMPLOYER POC ADDRESS1 | 1601 Precision Park Lane |
| EMPLOYER POC CITY | San Diego |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 92173 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16196624185 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Leibl |
| AGENT ATTORNEY FIRST NAME | Geoffrey |
| AGENT ATTORNEY MIDDLE NAME | D. |
| AGENT ATTORNEY ADDRESS1 | 12250 El Camino Real |
| AGENT ATTORNEY ADDRESS2 | Suite 350 |
| AGENT ATTORNEY CITY | San Diego |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 92130 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18584815211 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Leibl and Kirkwood PC |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 678 3rd Ave. |
| LCA CASE WORKLOC1 CITY | Chula Vista |
| WORKSITE COUNTY | SAN DIEGO |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 91910 |
| LCA CASE WAGE RATE FROM | 376350.52 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 229778 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Chiwai |
| PREPARER FIRST NAME | Lorraine |
| PREPARER BUSINESS NAME | Leibl and Kirkwood PC |
| PREPARER EMAIL | [email protected] |
