| LCA CASE NUMBER | I-200-19336-174649 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2019-12-02 |
| DECISION DATE | 2019-12-09 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Principal Clinical Systems Analyst |
| SOC CODE | 15-1121.00 |
| SOC TITLE | Computer Systems Analysts |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2019-12-15 |
| END DATE | 2022-12-14 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 1 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Stanford Health Care |
| EMPLOYER ADDRESS1 | 300 Pasteur Drive |
| EMPLOYER ADDRESS2 | HR: MC5513 |
| EMPLOYER CITY | Stanford |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 94305 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | +16506665860 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Phan |
| EMPLOYER POC FIRST NAME | Lam |
| EMPLOYER POC JOB TITLE | Manager-Talent Acquisition |
| EMPLOYER POC ADDRESS1 | 1850 Embarcadero Road |
| EMPLOYER POC ADDRESS2 | Suite B |
| EMPLOYER POC CITY | Palo Alto |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 94303 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | +16506665860 |
| EMPLOYER POC EMAIL | Lphan@StanfordHealthCare.org |
| AGENT REPRESENTING EMPLOYER | Y |
| AGENT ATTORNEY LAST NAME | Wachs |
| AGENT ATTORNEY FIRST NAME | Kelly |
| AGENT ATTORNEY MIDDLE NAME | Sue |
| AGENT ATTORNEY ADDRESS1 | 8070 Soquel Drive |
| AGENT ATTORNEY ADDRESS2 | Suite 130 |
| AGENT ATTORNEY CITY | Aptos |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 95003 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 18316615210.0 |
| AGENT ATTORNEY EMAIL ADDRESS | Kelly@kellywachs.com |
| LAWFIRM NAME BUSINESS NAME | Law Office of Kelly S. Wachs, PC |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1.0 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | Stanford Health Care |
| WORKSITE ADDRESS2 | 1840 Embarcadero Road |
| LCA CASE WORKLOC1 CITY | Palo Alto |
| WORKSITE COUNTY | SANTA CLARA |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 94303 |
| LCA CASE WAGE RATE FROM | 124009.6 |
| LCA CASE WAGE RATE TO | 204630.4 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 95534.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1.0 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Business |