| LCA CASE NUMBER | I-200-22256-468239 |
| STATUS | Certified - Withdrawn |
| LCA CASE SUBMIT | 2022-09-13 |
| DECISION DATE | 2022-09-30 |
| ORIGINAL CERT DATE | 2022-09-20 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Nurse Practitioner |
| SOC CODE | 29-1171.00 |
| SOC TITLE | Nurse Practitioners |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2022-10-07 |
| END DATE | 2025-10-06 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Chaparral Medical Group, Inc. |
| EMPLOYER ADDRESS1 | 840 Towne Center Drive |
| EMPLOYER CITY | Pomona |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 91767 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 19093981550 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Rajan |
| EMPLOYER POC FIRST NAME | Patty |
| EMPLOYER POC JOB TITLE | Administrator |
| EMPLOYER POC ADDRESS1 | 840 Towne Center Drive |
| EMPLOYER POC CITY | Pomona |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 91767 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 19093981550 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Khanna |
| AGENT ATTORNEY FIRST NAME | Rajiv |
| AGENT ATTORNEY MIDDLE NAME | S. |
| AGENT ATTORNEY ADDRESS1 | 5225 Wilson Blvd. |
| AGENT ATTORNEY CITY | Arlington |
| AGENT ATTORNEY STATE | VA |
| AGENT ATTORNEY POSTAL CODE | 22205 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12029091110 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Law Offices OF Rajiv S. Khanna, PC |
| STATE OF HIGHEST COURT | VA |
| NAME OF HIGHEST STATE COURT | Supreme Court of Virginia |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | Petitioner's Branch Office |
| WORKSITE ADDRESS1 | 1866 N. Orange Grove Avenue |
| LCA CASE WORKLOC1 CITY | Pomona |
| WORKSITE COUNTY | LOS ANGELES |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 91767 |
| LCA CASE WAGE RATE FROM | 130000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 127421 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Tandon |
| PREPARER FIRST NAME | Manik |
| PREPARER BUSINESS NAME | Law Offices of Rajiv S. Khanna, PC |
| PREPARER EMAIL | [email protected] |
