| LCA CASE NUMBER | I-200-19204-199036 |
| STATUS | CERTIFIED |
| LCA CASE SUBMIT | 2019-07-30 |
| DECISION DATE | 2019-08-05 |
| VISA CLASS | H-1B |
| LCA CASE EMPLOYMENT START DATE | 2019-09-15 |
| EMPLOYMENT END DATE | 2022-09-14 |
| LCA CASE EMPLOYER NAME | CHILDREN'S HOSPITAL LOS ANGELES MEDICAL GROUP |
| EMPLOYER ADDRESS | 3701 WILSHIRE BLVD, SUITE 600 |
| EMPLOYER CITY | LOS ANGELES |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 90010 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 3233612336 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | Providence Tarzana Medical Center |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY NAME | CLIFFORDROSENTHAL |
| AGENT ATTORNEY CITY | SANTA MONICA |
| AGENT ATTORNEY STATE | CA |
| LCA CASE JOB TITLE | MEDICAL DIRECTOR, NEONATAL INTENSIVE CARE UNIT (NICU) |
| SOC CODE | 11-9111 |
| SOC NAME | MEDICAL AND HEALTH SERVICES MANAGERS |
| NAICS CODE | 621111 |
| TOTAL WORKERS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| FULL TIME POSITION | True |
| PREVAILING WAGE | 151362 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | 4 |
| PW SOURCE | OES |
| LCA CASE WAGE RATE FROM | 238900 |
| LCA CASE WAGE RATE UNIT | Year |
| H1B DEPENDENT | False |
| LCA CASE WORKLOC1 CITY | Tarzana |
| WORKSITE COUNTY | Los Angeles |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 91356 |
| WILLFUL VIOLATOR | False |