Fiscal Year

2020

Case Number

A-19310-79942

Case Status

Certified

Received Date

2020-02-12

Decision Date

2020-06-10

Refile

N

Original File Date

2020-01-01 08:15:26

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

David K Fukuda MD., A Medical Corp

Employer Name Slug

david-k-fukuda-md-a-medical-corp

Employer Address 1

1003 East Cooley Drive

Employer Address 2

Employer City

Colton

Employer City Slug

colton

Employer State

CALIFORNIA

Employer State Slug

california

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

92324

Employer Phone

9095286852

Employer Number of Employees

4

Employer Year Commenced Business

2004

NAICS Code

621111

FW Ownership Interest

N

Employer Contact Name

David K Fukuda

Employer Contact Address 1

PO BOX 972

Employer Contact Address 2

Employer Contact City

Loma Linda

Employer Contact State/Province

CALIFORNIA

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

92354

Employer Contact Phone

909-528-6852

Employer Contact Email

celebrationsclinic2014@gmail.com

Agent Attorney Name

Sumeet Lall

Agent Attorney Firm Name

Law Offices of Sumeet Lall

Agent Attorney Phone

2137389971

Agent Attorney Address 1

3435 Wilshire Blvd

Agent Attorney Address 2

Suite 2000

Agent Attorney City

Los Angeles

Agent Attorney State/Province

CALIFORNIA

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

90010

Agent Attorney Email

info@attorneylall.com

PW Track Number

P10019056948789

PW SOC Code

31-9092

PW SOC Title

Senior Medical Assistant

PW Skill Level

Level III

PW Wage

31034.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2019-06-18

PW Expiration Date

2019-09-16

Wage Offer From

31034.00

Wage Offer To

0.00

Average Salary

31034.00

Wage Unit of Pay

Year

Worksite Address 1

1003 East Cooly Drive

Worksite Address 2

Worksite City

Colton

Worksite City Slug

colton

Worksite State

CALIFORNIA

Worksite Postal Code

92324

Job Title

Senior Medical Assistant

Job Title Slug

senior-medical-assistant

Minimum Education

Bachelor's

Major Field of Study

Medical Science

Required Training

N

Required Experience

N

Required Experience Months

Accept Alternative Field of Study

N

Accept Alternative Major Field of Study

Accept Alternative Combination

N

Accept Alternative Combination Education

Accept Alternative Combination Education Years

Accept Foreign Education

N

Accept Alternative Occupation

N

Accept Alternative Occupation Months

Accept Alternative Job Title

Job Opportunity Requirements Normal

Y

Foreign Language Required

N

Specific Skills

Combination Occupation

N

Offered to Applicant Foreign Worker

Y

Foreign Worker Live on Premises

N

Foreign Worker Live in Domestic Service

N

Foreign Worker Live in Domestic Service Count

Professional Occupation

N

Application for College/University Teacher

N

SWA Job Order Start Date

2019-09-03

SWA Job Order End Date

2019-10-03

Sunday Edition Newspaper

Y

First Newspaper Name

Southern California News Group

First Advertisement Start Date

2019-09-22

Second Newspaper Ad Name

Southern California News Group

Second Advertisement Type

Newspaper

Second Ad Start Date

2019-09-29

Employer Website From Date

2020-01-01 08:15:26

Employer Website To Date

2020-01-01 08:15:26

Professional Organization Ad From Date

2020-01-01 08:15:26

Professional Organization Advertisement To Date

2020-01-01 08:15:26

Job Search Website From Date

2020-01-01 08:15:26

Job Search Website To Date

2020-01-01 08:15:26

Employee Referral Program From Date

2020-01-01 08:15:26

Employee Referral Program To Date

2020-01-01 08:15:26

Local Ethnic Paper From Date

2020-01-01 08:15:26

Local Ethnic Paper To Date

2020-01-01 08:15:26

Radio/TV Ad From Date

2020-01-01 08:15:26

Radio/TV Ad To Date

2020-01-01 08:15:26

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

INDONESIA

Foreign Worker Birth Country

INDONESIA

Class of Admission

B-2

Foreign Worker Education

Bachelor's

Foreign Worker Information: Major

SCIENCE

Foreign Worker Years of Education Completed

2018

Foreign Worker Institution of Education

SOUTHERN ADVENTIST UNIVERSITY

Foreign Worker Education Institution Address 1

4881 TAYLOR CIR

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

COLLEGEDALE

Foreign Worker Education Institution State/Province

TN

Foreign Worker Education Institution Country

UNITED STATES OF AMERICA

Foreign Worker Education Institution Postal Code

37315

Foreign Worker Experience with Employer

N/A

Foreign Worker Employer Pays for Education

N

Foreign Worker Currently Employed

Y

Employer Completed Application

N

Preparer Name

Sumeet Lall

Preparer Title

Attorney

Preparer Email

Info@attorneylall.com

Employer Information Declaration Name

David Fukuda

Employer Information Declaration Title

Medical Doctor