Superior Court Judge James Chalfant rejected a bid Thursday by Dr. Michael Kamrava's lawyers, saying the state medical board's revocation was the appropriate action.
Kamrava wanted his license reinstated so he could practice medicine again.
The doctor's attorneys described the medical board's ruling a death sentence for Kamrava's career. Chalfant agreed, but said this case was so extreme there could be no other outcome.
The California Medical Board revoked his license in June after finding him grossly negligent in the care of three patients, including Suleman, who has a total of 14 children.
Kamrava said he didn't deserve the penalty and blames negative media coverage.
Although the court rejected Kamrava's bid, the decision to reinstate his license will ultimately be up to the board.
Suleman gave birth to her octuplets on Jan. 26, 2009, and all have survived.
Suleman initially told the media she had been implanted with six embryos and two of them split, resulting in her octuplets. However, medical records discussed during Kamrava's licensing hearing revealed she had been implanted with 12 embryos.
The number of implanted embryos was six times the norm for a woman her age, and the resulting pregnancy could have been deadly or damaging for Suleman and her babies.
The Associated Press contributed to this report.