| LCA CASE NUMBER | I-200-22140-197087 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2022-05-20 |
| DECISION DATE | 2022-05-27 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | DENTIST |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | False |
| LCA CASE EMPLOYMENT START DATE | 2022-06-06 |
| END DATE | 2025-06-05 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 1 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | PS AHUJA DENTAL CORP |
| TRADE NAME DBA | FULLER SMILES |
| EMPLOYER ADDRESS1 | 1045 ATLANTIC AVE, STE 602 |
| EMPLOYER CITY | LONG BEACH |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 90813 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15624355388 |
| NAICS CODE | 6212 |
| EMPLOYER POC LAST NAME | REYNOLDS |
| EMPLOYER POC FIRST NAME | TARAN |
| EMPLOYER POC JOB TITLE | PRESIDENT |
| EMPLOYER POC ADDRESS1 | 1045 ATLANTIC AVE, STE 602 |
| EMPLOYER POC CITY | LONG BEACH |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 90813 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15624355388 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | KAHNG |
| AGENT ATTORNEY FIRST NAME | JIM |
| AGENT ATTORNEY ADDRESS1 | 3424 W. CARSON STREET, SUITE 440 |
| AGENT ATTORNEY ADDRESS2 | LAW OFFICES OF JIM KAHNG |
| AGENT ATTORNEY CITY | TORRANCE |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 90503 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 13102140555 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | LAW OFFICES OF JIM KAHNG |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | STATE SUPREME COURT |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 1045 ATLANTIC AVE, STE 602 |
| LCA CASE WORKLOC1 CITY | LONG BEACH |
| WORKSITE COUNTY | LOS ANGELES |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 90813 |
| LCA CASE WAGE RATE FROM | 87.5 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 80.58 |
| PW UNIT OF PAY | Hour |
| 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 | KAHNG |
| PREPARER FIRST NAME | JIM |
| PREPARER BUSINESS NAME | LAW OFFICES OF JIM KAHNG |
| PREPARER EMAIL | [email protected] |
