Kanye West has lashed out at yet another photog at LAX, this time punching that paparazzo several times causing an ambulance to arrive at the scene.

According to TMZ, an aggressive paparazzo, (noted as not from TMZ’s staff), pressed West with several questions, pushing a camera into his face and demanding he speak. The Yeezus rapper responded by punching the unidentified man several times.

The incident started after West exited the terminal with bodyguards surrounding him, but the relentless paparazzo would not let up which started the altercation. After throwing several punches, the photog fell to the floor. Police and ambulance are currently on the scene.

This isn’t the first time West has got into a scuffle.

West lashed out on TMZ last week at LAX telling the website’s cameraman to not speak to him. The photogs pressed on and West lashed out smacking and damaging the camera.

Kris Jenner defended West on The Talk, saying that nobody was there five minutes before the camera’s started rolling so we don’t know if it is actually West’s fault.

Check out the video below:

Image: Video Screenshot