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Case Number: A-20167-65919

Fiscal year: 2021

Fiscal Year

2021

Case Number

A-20167-65919

Case Status

Certified-Expired

Received Date

2020-06-17

Decision Date

2020-12-31

Refile

N

Original File Date

2021-01-01 08:56:32

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

PACIFIC MED NEPHROLOGY

Employer Name Slug

pacific-med-nephrology

Employer Address 1

736 ROUTE 4

Employer Address 2

SUITE 103

Employer City

SINAJANA

Employer City Slug

sinajana

Employer State

GUAM

Employer State Slug

guam

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

96910

Employer Phone

6716497232

Employer Number of Employees

23

Employer Year Commenced Business

1999

NAICS Code

621111

FW Ownership Interest

N

Employer Contact Name

Mersedeh Maddah

Employer Contact Address 1

736 Route 4

Employer Contact Address 2

Suite 103

Employer Contact City

Sinajana

Employer Contact State/Province

GUAM

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

96910

Employer Contact Phone

6716497232 112

Employer Contact Email

m.mersedeh@pacmedguam.com

Agent Attorney Name

Ladd A BAUMANN

Agent Attorney Firm Name

BAUMANN, KONDAS and XU, LLC

Agent Attorney Phone

671-477-9084

Agent Attorney Address 1

238 Archbishop Flores Street

Agent Attorney Address 2

Suite 903 DNA Building

Agent Attorney City

Hagatna

Agent Attorney State/Province

GUAM

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

96910

Agent Attorney Email

Ladd.Baumann@baumannguam.com

PW Track Number

P10019141508544

PW SOC Code

29-1069

PW SOC Title

Physicians and Surgeons, All Other

PW Skill Level

Level II

PW Wage

143229.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2019-09-05

PW Expiration Date

2020-06-30

Wage Offer From

200000.00

Wage Offer To

0.00

Average Salary

200000.00

Wage Unit of Pay

Year

Worksite Address 1

736 Route 4

Worksite Address 2

Suite 103

Worksite City

Sinajana

Worksite City Slug

sinajana

Worksite State

GUAM

Worksite Postal Code

96910

Job Title

Physician (Nephrologist)

Job Title Slug

physician-nephrologist

Minimum Education

Other

Major Field of Study

Medicine

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

Y

Accept Alternative Occupation

N

Accept Alternative Occupation Months

Accept Alternative Job Title

Job Opportunity Requirements Normal

Y

Foreign Language Required

N

Specific Skills

Internal Medicine residency; Nephrology fellowship; Board certifiedeligible in Internal Medicine; Guam Medical License

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

Y

Application for College/University Teacher

N

SWA Job Order Start Date

2020-03-19

SWA Job Order End Date

2020-04-18

Sunday Edition Newspaper

Y

First Newspaper Name

Pacific Daily News

First Advertisement Start Date

2020-03-22

Second Newspaper Ad Name

Pacific Daily News

Second Advertisement Type

Newspaper

Second Ad Start Date

2020-03-29

Employer Website From Date

2020-05-19

Employer Website To Date

2020-05-19

Professional Organization Ad From Date

2021-01-01 08:56:32

Professional Organization Advertisement To Date

2021-01-01 08:56:32

Job Search Website From Date

2020-03-29

Job Search Website To Date

2020-03-29

Employee Referral Program From Date

2021-01-01 08:56:32

Employee Referral Program To Date

2021-01-01 08:56:32

Local Ethnic Paper From Date

2020-04-20

Local Ethnic Paper To Date

2020-04-20

Radio/TV Ad From Date

2021-01-01 08:56:32

Radio/TV Ad To Date

2021-01-01 08:56:32

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

THAILAND

Foreign Worker Birth Country

THAILAND

Class of Admission

H-1B

Foreign Worker Education

Other

Foreign Worker Information: Major

MEDICINE

Foreign Worker Years of Education Completed

2002

Foreign Worker Institution of Education

MADIHOL UNIVERSITY

Foreign Worker Education Institution Address 1

999 PHUTTHAMONTHON 4 ROAD

Foreign Worker Education Institution Address 2

SALAYA

Foreign Worker Education Institution City

NAKHON PATHOM

Foreign Worker Education Institution State/Province

Foreign Worker Education Institution Country

THAILAND

Foreign Worker Education Institution Postal Code

73170

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

Ladd A Baumann

Preparer Title

Lawyer

Preparer Email

Ladd.Baumann@baumannguam.com

Employer Information Declaration Name

Saied SAFABKHSH

Employer Information Declaration Title

MD, FACP, FASN, President