| LCA CASE NUMBER | I-200-20133-561506 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2020-05-11 |
| DECISION DATE | 2020-05-18 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Manager IS Information Systems |
| SOC CODE | 11-3021.00 |
| SOC TITLE | Computer and Information Systems Managers |
| FULL TIME POSITION | Y |
| LCA CASE EMPLOYMENT START DATE | 2020-05-12 |
| END DATE | 2021-09-30 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 1 |
| LCA CASE EMPLOYER NAME | Children's Hospital Los Angeles |
| EMPLOYER ADDRESS1 | 4650 Sunset Boulevard |
| EMPLOYER ADDRESS2 | Mailstop 48 |
| EMPLOYER CITY | Los Angeles |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 90027 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 17608083308 |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Baciu |
| EMPLOYER POC FIRST NAME | John |
| EMPLOYER POC MIDDLE NAME | G |
| EMPLOYER POC JOB TITLE | Director of Human Resources |
| EMPLOYER POC ADDRESS1 | 4650 Sunset Boulevard |
| EMPLOYER POC ADDRESS2 | Mailstop 48 |
| EMPLOYER POC CITY | Los Angeles |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 90027 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 17608083308 |
| EMPLOYER POC EMAIL | jbaciu@chla.usc.edu |
| AGENT REPRESENTING EMPLOYER | N |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | N |
| WORKSITE ADDRESS1 | 5 Centinale Aisle |
| LCA CASE WORKLOC1 CITY | Irvine |
| WORKSITE COUNTY | ORANGE |
| LCA CASE WORKLOC1 STATE | CA |
| WORKSITE POSTAL CODE | 92606 |
| LCA CASE WAGE RATE FROM | 192826.0 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 183789.0 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2019 - 6/30/2020 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Y |
| H-1B DEPENDENT | N |
| WILLFUL VIOLATOR | N |
| PUBLIC DISCLOSURE | Disclose Employment |