| LCA CASE NUMBER | I-200-23235-290721 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-08-23 |
| DECISION DATE | 2023-08-30 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Internal Medicine General Physician |
| SOC CODE | 29-1216.00 |
| SOC TITLE | General Internal Medicine Physicians |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-10-16 |
| END DATE | 2026-10-15 |
| 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 | Southern California Permanente Medical Group |
| EMPLOYER ADDRESS1 | 393 E Walnut Street |
| EMPLOYER CITY | Pasadena |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 91188 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 16264055000 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Hicks |
| EMPLOYER POC FIRST NAME | Diamond |
| EMPLOYER POC MIDDLE NAME | M. |
| EMPLOYER POC JOB TITLE | Employment & Transactions Counsel |
| EMPLOYER POC ADDRESS1 | 393 E. Walnut Street |
| EMPLOYER POC CITY | Pasadena |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 91188 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 16264055686 |
| EMPLOYER POC EMAIL | [email protected] |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Serwer |
| AGENT ATTORNEY FIRST NAME | David |
| AGENT ATTORNEY MIDDLE NAME | Matthew |
| AGENT ATTORNEY ADDRESS1 | 1 North Wacker Drive |
| AGENT ATTORNEY ADDRESS2 | Suite 4500 |
| AGENT ATTORNEY CITY | Chicago |
| AGENT ATTORNEY STATE | IL |
| AGENT ATTORNEY POSTAL CODE | 60606 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | IL |
| AGENT ATTORNEY PHONE | 13124166221 |
| AGENT ATTORNEY EMAIL ADDRESS | [email protected] |
| LAWFIRM NAME BUSINESS NAME | Baker & Hostetler LLP |
| STATE OF HIGHEST COURT | IL |
| NAME OF HIGHEST STATE COURT | Supreme Court of Illinois |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 5055 California Ave. |
| WORKSITE ADDRESS2 | Suite 240 |
| LCA CASE WORKLOC1 CITY | Bakersfield |
| WORKSITE COUNTY | KERN |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 93309 |
| LCA CASE WAGE RATE FROM | 513700 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 239200 |
| PW UNIT OF PAY | Year |
| PW OES YEAR | 7/1/2023 - 6/30/2024 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Pandey |
| PREPARER FIRST NAME | Neelam |
| PREPARER BUSINESS NAME | Baker & Hostetler LLP |
| PREPARER EMAIL | [email protected] |
