| LCA CASE NUMBER | I-200-24221-255259 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2024-08-08 |
| DECISION DATE | 2024-08-15 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Internal Medicine Physician |
| SOC CODE | 29-1216.00 |
| SOC TITLE | General Internal Medicine Physicians |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2024-10-01 |
| END DATE | 2027-09-30 |
| 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 | Mid-Atlantic Permanente Medical Group |
| EMPLOYER ADDRESS1 | 2101 East Jefferson Street |
| EMPLOYER CITY | Rockville |
| EMPLOYER STATE | MD |
| EMPLOYER POSTAL CODE | 20852 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 13018167222 |
| EMPLOYER FEIN | 52-1196226 |
| NAICS CODE | 621111 |
| EMPLOYER POC LAST NAME | Chou |
| EMPLOYER POC FIRST NAME | Ivy |
| EMPLOYER POC MIDDLE NAME | S. |
| EMPLOYER POC JOB TITLE | Human Resources Operations Manager |
| EMPLOYER POC ADDRESS1 | 2101 East Jefferson Street |
| EMPLOYER POC CITY | Rockville |
| EMPLOYER POC STATE | MD |
| EMPLOYER POC POSTAL CODE | 20852 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 13018167222 |
| EMPLOYER POC EMAIL | ivy.s.chou@kp.org |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | Zhang |
| AGENT ATTORNEY FIRST NAME | Sufen |
| AGENT ATTORNEY ADDRESS1 | 100 Light Street |
| AGENT ATTORNEY CITY | Baltimore |
| AGENT ATTORNEY STATE | MD |
| AGENT ATTORNEY POSTAL CODE | 21202 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 14103853608 |
| AGENT ATTORNEY EMAIL ADDRESS | szhang@milesstockbridge.com |
| LAWFIRM NAME BUSINESS NAME | Miles & Stockbridge P.C. |
| STATE OF HIGHEST COURT | MD |
| NAME OF HIGHEST STATE COURT | Supreme Court of Maryland |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | True |
| SECONDARY ENTITY BUSINESS NAME | Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc. |
| WORKSITE ADDRESS1 | Capitol Hill Medical Center, 700 2nd St NE |
| LCA CASE WORKLOC1 CITY | Washington |
| WORKSITE COUNTY | DISTRICT OF COLUMBIA |
| LCA CASE WORKLOC1 STATE | DC |
| WORKSITE POSTAL CODE | 20002 |
| LCA CASE WAGE RATE FROM | 215000 |
| LCA CASE WAGE RATE TO | 255000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 210267 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Eyewumi |
| PREPARER FIRST NAME | Stella |
| PREPARER MIDDLE INITIAL | E |
| PREPARER BUSINESS NAME | Miles & Stockbridge PC |
| PREPARER EMAIL | seyewumi@MilesStockbridge.com |