| CASE NUMBER | I-200-24176-143731 |
| CASE STATUS | Certified |
| RECEIVED DATE | 6/24/2024 |
| DECISION DATE | 7/1/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Clinical Resident (PGY4) |
| SOC CODE | 29-1229.00 |
| SOC TITLE | Physicians, All Other |
| FULL TIME POSITION | Y |
| BEGIN DATE | 8/1/2024 |
| END DATE | 7/31/2025 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | Children's Hospital Los Angeles |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 4650 Sunset Blvd. |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Los Angeles |
| EMPLOYER STATE | CA |
| EMPLOYER POSTAL CODE | 90027 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | +13236602450 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 622110 |
| EMPLOYER POC LAST NAME | Ahmed |
| EMPLOYER POC FIRST NAME | Amal |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Affirmative Action Program Manager |
| EMPLOYER POC ADDRESS1 | 4400 Sunset Blvd. |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Los Angeles |
| EMPLOYER POC STATE | CA |
| EMPLOYER POC POSTAL CODE | 90027 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | +13232295719 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | amahmed@chla.usc.edu |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Arias |
| AGENT ATTORNEY FIRST NAME | Elsie |
| AGENT ATTORNEY MIDDLE NAME | Hui |
| AGENT ATTORNEY ADDRESS1 | 707 Wilshire Boulevard |
| AGENT ATTORNEY ADDRESS2 | Suite 3200 |
| AGENT ATTORNEY CITY | Los Angeles |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 90017 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | +12136278997 |
| AGENT ATTORNEY PHONE EXT | 155 |
| AGENT ATTORNEY EMAIL ADDRESS | elsie@sggimmigration.com |
| LAWFIRM NAME BUSINESS NAME | SGG Immigration LLP |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 4650 Sunset Blvd. |
| WORKSITE ADDRESS2 | |
| WORKSITE CITY | Los Angeles |
| WORKSITE COUNTY | LOS ANGELES |
| WORKSITE STATE | CA |
| WORKSITE POSTAL CODE | 90027 |
| WAGE RATE OF PAY FROM | 84,028.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $83,110.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | |
| PW OES YEAR | |
| PW OTHER SOURCE | Survey |
| PW OTHER YEAR | 2023 |
| PW SURVEY PUBLISHER | Association of American Medical Colleges (AAMC) |
| PW SURVEY NAME | AAMC Survey Resident/Fellow Stipends & Benefits Report 2023 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Yes |
| H 1B DEPENDENT | No |
| WILLFUL VIOLATOR | No |
| SUPPORT H1B | N/A |
| STATUTORY BASIS | |
| APPENDIX A ATTACHED | N/A |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | |
| PREPARER FIRST NAME | |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | |
| PREPARER EMAIL | |
| BEGIN DATE CONVERTED | 2024-01-08 |
