| LCA CASE NUMBER | I-200-22108-080821 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-04-18 |
| DECISION DATE | 2022-04-25 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Physical Therapist |
| SOC CODE | 29-1123.00 |
| SOC TITLE | Physical Therapists |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-05-18 |
| END DATE | 2025-05-17 |
| 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 | Adventist Health Clearlake Hospital Inc. |
| EMPLOYER ADDRESS1 | 15630 18TH AVE |
| EMPLOYER CITY | Clearlake |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 95422 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17079955844 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Asican |
| EMPLOYER POC FIRST NAME | Virginia |
| EMPLOYER POC JOB TITLE | Sr. Talent Advisor |
| EMPLOYER POC ADDRESS1 | 15630 18TH AVE |
| EMPLOYER POC CITY | Clearlake |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 95422 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12096421245 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Maribao |
| AGENT ATTORNEY FIRST NAME | Julienne |
| AGENT ATTORNEY ADDRESS1 | PO Box# 191710 |
| AGENT ATTORNEY CITY | San Francisco |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 94119 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14157655111 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | E&M Mayock |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 14855 Olympic Drive |
| LCA CASE WORKLOC1 CITY | Clearlake |
| WORKSITE COUNTY | LAKE |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 92581 |
| LCA CASE WAGE RATE FROM | 92581 |
| LCA CASE WAGE RATE TO | 99923.2 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 92581 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | I |
| PW OES YEAR | 7/1/2021 - 6/30/2022 |
| TOTAL WORKSITE LOCATIONS | 2 |
| AGREE TO LC STATEMENT | True |
| H1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | QIAN |
| PREPARER FIRST NAME | JIN |
| PREPARER BUSINESS NAME | E&M MAYOCK |
| PREPARER EMAIL | [email protected] |
