Fiscal Year

2021

Case Number

A-21112-77424

Case Status

Certified

Received Date

2021-04-27

Decision Date

2021-09-21

Refile

N

Original File Date

2021-01-01 10:12:11

Previous SWA Case Number State

Schedule A Sheepherder

N

Employer Name

Sopheap Tang DMD Dental Corporation

Employer Name Slug

sopheap-tang-dmd-dental-corporation

Employer Address 1

18876 Van Buren Blvd. Suite 107

Employer Address 2

Employer City

Riverside

Employer City Slug

riverside

Employer State

CALIFORNIA

Employer State Slug

california

Employer Country

UNITED STATES OF AMERICA

Employer Postal Code

92508

Employer Phone

951-855-9798

Employer Number of Employees

22

Employer Year Commenced Business

2011

NAICS Code

621210

FW Ownership Interest

N

Employer Contact Name

Maly Palmer

Employer Contact Address 1

18876 Van Buren Blvd. Suite 107

Employer Contact Address 2

Employer Contact City

Riverside

Employer Contact State/Province

CALIFORNIA

Employer Contact Country

UNITED STATES OF AMERICA

Employer Contact Postal Code

92508

Employer Contact Phone

951-855-9798

Employer Contact Email

malypalmer@atoothfairy.com

Agent Attorney Name

Jim Kahng

Agent Attorney Firm Name

Law Offices of Jim Kahng

Agent Attorney Phone

3102140555

Agent Attorney Address 1

3424 W. Carson St. #440

Agent Attorney Address 2

Agent Attorney City

Torrance

Agent Attorney State/Province

CALIFORNIA

Agent Attorney Country

UNITED STATES OF AMERICA

Agent Attorney Postal Code

90503

Agent Attorney Email

jim@usimmiglaw.com

PW Track Number

P10020343941022

PW SOC Code

29-1021

PW SOC Title

Dentist, General

PW Skill Level

Level I

PW Wage

83928.00

PW Unit of Pay

Year

PW Wage Source

OES

PW Determination Date

2021-04-16

PW Expiration Date

2021-07-15

Wage Offer From

83928.00

Wage Offer To

0.00

Average Salary

83928.00

Wage Unit of Pay

Year

Worksite Address 1

18876 Van Buren Blvd. #107

Worksite Address 2

Worksite City

Riverside

Worksite City Slug

riverside

Worksite State

CALIFORNIA

Worksite Postal Code

92508

Job Title

Associate Dentist

Job Title Slug

associate-dentist

Minimum Education

Other

Major Field of Study

Dentistry

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

California Dental License required.

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

2021-02-09

SWA Job Order End Date

2021-03-12

Sunday Edition Newspaper

Y

First Newspaper Name

Riverside PressEnterprise SCNG

First Advertisement Start Date

2021-03-07

Second Newspaper Ad Name

Riverside PressEnterprise SCNG

Second Advertisement Type

Newspaper

Second Ad Start Date

2021-03-14

Employer Website From Date

2021-01-01 10:12:11

Employer Website To Date

2021-01-01 10:12:11

Professional Organization Ad From Date

2021-01-01 10:12:11

Professional Organization Advertisement To Date

2021-01-01 10:12:11

Job Search Website From Date

2021-02-09

Job Search Website To Date

2021-03-11

Employee Referral Program From Date

2021-01-01 10:12:11

Employee Referral Program To Date

2021-01-01 10:12:11

Local Ethnic Paper From Date

2021-03-13

Local Ethnic Paper To Date

2021-03-13

Radio/TV Ad From Date

2021-01-01 10:12:11

Radio/TV Ad To Date

2021-01-01 10:12:11

Employer Received Payment

N

Posted Notice at Worksite

Y

Layoff in Past Six Months

N

Country of Citizenship

SOUTH KOREA

Foreign Worker Birth Country

SOUTH KOREA

Class of Admission

Parolee

Foreign Worker Education

Other

Foreign Worker Information: Major

DENTISTRY

Foreign Worker Years of Education Completed

2019

Foreign Worker Institution of Education

LOMA LINDA UNIVERSITY, SCHOOL OF DENTISTRY

Foreign Worker Education Institution Address 1

11092 ANDERSON ST.

Foreign Worker Education Institution Address 2

Foreign Worker Education Institution City

LOMA LINDA

Foreign Worker Education Institution State/Province

CA

Foreign Worker Education Institution Country

UNITED STATES OF AMERICA

Foreign Worker Education Institution Postal Code

92350

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

Jim Kahng

Preparer Title

Attorney

Preparer Email

jim@usimmiglaw.com

Employer Information Declaration Name

Sopheap Tang

Employer Information Declaration Title

President