| LCA CASE NUMBER | I-200-23167-121306 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-06-16 |
| DECISION DATE | 2023-06-23 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-07-10 |
| END DATE | 2026-07-09 |
| 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 | Northern Valley Indian Health Inc. |
| EMPLOYER ADDRESS1 | 257 N Butte St |
| EMPLOYER CITY | Willows |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 95988 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 15303308800 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Ruff |
| EMPLOYER POC FIRST NAME | Nicole |
| EMPLOYER POC JOB TITLE | Talent Acquisition Specialist |
| EMPLOYER POC ADDRESS1 | 257 N Butte St |
| EMPLOYER POC CITY | Willows |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 95988 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 15304332600 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Wang |
| AGENT ATTORNEY FIRST NAME | Chien-Yu |
| AGENT ATTORNEY MIDDLE NAME | Michael |
| AGENT ATTORNEY ADDRESS1 | 2730 Gateway Oaks Drive |
| AGENT ATTORNEY ADDRESS2 | Suite 208 |
| AGENT ATTORNEY CITY | Sacramento |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 95833 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 19166434657 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Wilner & O'Reilly, APLC |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 2500 Main St |
| LCA CASE WORKLOC1 CITY | Red Bluff |
| WORKSITE COUNTY | TEHAMA |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 96080 |
| LCA CASE WAGE RATE FROM | 86 |
| LCA CASE WAGE RATE UNIT | Hour |
| PREVAILING WAGE | 65.26 |
| PW UNIT OF PAY | Hour |
| 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 |
